NPI age
18 years
Enumerated 2007-11-29
Across 387 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | P01538158 | RR MEDICARE |
| 01 (WA) | 319254 | LABOR & INDUSTRIES |
| 05 (WA) | 2048070 |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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