NPI age
16 years
Enumerated 2010-02-28
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | PA-1767 | |
| 01 (SC) | P00886826 | RAILROAD MC ID-RSFPN |
| 05 (SC) | 0969PA |
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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