NPI 1679153217

Nebojsa None Krkeljas

Practitioner Driver Mountain Home, ID

Practice location

Address: 350 N 3rd E Unit 806, Mountain Home, ID 83647-6536
Phone: (986) 888-5002

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1679153217
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Apr 2021
Record last updated: 8 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.