specializing in physician assistant in Fruitland, Idaho

NPI: 1871952267

Provider Type

2

Practice Locations

Mailing Location

1100 NW 12TH ST

FRUITLAND, ID 83619

📞 2084526556

📠 5412166557

Practice Location

1100 NW 12TH ST

FRUITLAND, ID 83619

📞 2084526556

📠 5412166557

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/15/2016
Last Updated:2/1/2024

Credentials

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