specializing in physician assistant in Chubbuck, Idaho

NPI: 1144984873

Provider Type

2

Practice Locations

Mailing Location

PO BOX 2516

POCATELLO, ID 83206

📞 2083804978

📠 2086484063

Practice Location

4650 HAWTHORNE RD STE 3B

CHUBBUCK, ID 83202

📞 2082525621

📠 2086484167

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/28/2021
Last Updated:4/12/2024

Credentials

Primary Credential:
null null null - Physician Assistant in Chubbuck, Idaho