RSM PA PLLC
Medical Practice at Bannock Hwy, Pocatello, ID

License number
Idaho PA220
Category
Nursing
Type
Medical
Owner
Name: ROGER SCOTT MALM PA
Title: OWNER
Phone: (208) 238-0400
Address
Address
1595 Bannock Hwy, Pocatello, ID 83204
National Provider ID: 1174711758
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about RSM PA PLLC at bizstanding.com

RSM PA PLLC

1595 Bannock Hwy, Pocatello, ID 83204

Status:
Inactive
Industry:
Nonresidential Building Operator
Registration:
Jun 13, 2007
Inactive since:
Sep 23, 2014
State ID:
W63632
Business type:
LIMITED LIABILITY COMPANY
Owner, Physician Assistant, Principal:
Roger S. Malm Owner, Physician Assistant, Principal, inactive
Agent:
Roger Scott Malm,1595 Bannock Hwy, Pocatello, ID 83204 (Physical)

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