NPI age
15 years
Enumerated 2010-07-18
Across 1263 active physician assistant providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1689987794 | |
| 01 (ID) | PA-1092 | STATE LICENSE |
Part of a multi-provider practice. 61 other active providers share this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →