IDAHORMONES
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1114600277- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3648 N CENTREPOINT WAY STE 110, MERIDIAN, ID, 836467626
- Phone
- (208) 874-2394
Specialties & Taxonomies
Physician Assistant
Primary