Dr DEREK SCOTT AHLSTROM is a male medical professional, specializing in Physician Assistant. He graduated in 2018.
LIFEWAYS INC
2609 S 10TH AVE
SUITE 102
CALDWELL
ID
836056885
Tel: 2084542766
| Npi | 1174096606 |
| Pac Id | 3779824370 |
| Professional Enrollment Id | I20190409001185 |
| Last Name | AHLSTROM |
| First Name | DEREK |
| Middle Name | SCOTT |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | LIFEWAYS INC |
| Group Practice Pac Id | 4183696214 |
| Number Of Group Practice Members | 29 |
| Line 1 Street Address | 2609 S 10TH AVE |
| Line 2 Street Address | SUITE 102 |
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| City | CALDWELL |
| State | ID |
| Zip Code | 836056885 |
| Phone Number | 2084542766 |
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| Professional Accepts Medicare Assignment | Y |
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