-- HODAKA PAUL ABE -- PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1013299866- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 206 E ELM ST, CALDWELL, ID, 836054815
- Phone
- (208) 459-4511
- Fax
- (208) 459-6602
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA 926