NPI age
4 years
Enumerated 2021-10-15
Across 1263 active physician assistant providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | PA-2144 | IDAHO BOARD OF MEDICINE |
Part of a multi-provider practice. 34 other active providers share this practice address in NPPES.
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