Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALVIN JACKSON SECREST III, MD
ActiveALVIN JACKSON SECREST III, MD is a Family Medicine healthcare provider located in COTTONWOOD, Idaho. NPI 1053314864 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · COTTONWOOD, ID
Registration Details
- NPI Number
- 1053314864
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (21.080085418909 yrs)
- Last Updated
- Aug 11, 2021
- License
-
M6256 (ID)
Practice Information
- Address
-
701 LEWISTON STCOTTONWOOD, ID, 835229750Browse ID providers · Browse ZIP 83522
- Phone
- 2089623267
- Fax
- 2089622313
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in COTTONWOOD, ID
| Name | Credential | NPI |
|---|---|---|
| HALEY J MINNEHAN | MD | 1316940232 |
| JACK CASTEEL BRUNER II | MD | 1982607669 |
| DR. RONALD L SIGLER | MD | 1386647212 |
| DR. ANDREW F JONES | DO | 1740283555 |
| DR. JEREMY D OSTRANDER | MD | 1366403396 |
| TEMA LYNN JESSUP | DO | 1073774196 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.