Dr. PHATAMA PADAVANIJA
Idaho SPHY-11228 Canceled
This Idaho license was held by Dr. PHATAMA PADAVANIJA. The license is no longer active. It was granted on 05/17/2011
LICENSE DETAILS
- License Number: SPHY-11228
- Category: Board Of Medicine
- Status: Canceled
- Date Granted: 05/17/2011 (almost 14 years ago)
LOCATIONS
A Residential
MSTI TWIN FALLS TWIN FALLS ID 83301