specializing in physician assistant in Meridian, Idaho

NPI: 1760940084

Provider Type

2

Practice Locations

Mailing Location

PO BOX 41638

PHOENIX, AZ 85080

📞 8449002567

Practice Location

3499 E FAIRVIEW AVE

MERIDIAN, ID 83642

📞 6028994404

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:3/5/2019
Last Updated:6/25/2020

Credentials

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