NPI age
19 years
Enumerated 2006-11-29
Across 387 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1801963459 | |
| 01 (ID) | 1667204 | MEDICARE PTAN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →