NPI age
19 years
Enumerated 2006-10-12
Across 387 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 807603102 | |
| 05 (ID) | 807603103 | |
| 05 (ID) | 807603105 | |
| 05 (ID) | 807603100 | |
| 05 (ID) | 807603104 | |
| 05 (ID) | 807603101 |
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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