NPI age
20 years
Enumerated 2005-08-22
Across 387 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 0021913 | |
| 01 (ID) | 000010151329 | BSI - POKY |
| 01 (ID) | PANR7 | BCI - POKY |
Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.
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