NPI age
19 years
Enumerated 2006-10-03
Across 1263 active physician assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (WA) | 0127912 | STATE L&I |
| 01 (WA) | 970007233 | RAILROAD |
| 01 (WA) | 8902561 | STATE CRIME VICTIMS |
| 05 (WA) | 8348948 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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