NPI age
15 years
Enumerated 2011-04-27
Across 97 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (AZ) | 3Z5047 | HEALTHNET |
| 05 (AZ) | 611187 |
Solo or small practice. No other active providers share this practice address in NPPES.
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