DANIEL SETH FANKHAUSER
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1265112700- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 315 E ELM ST STE 201, CALDWELL, ID, 836054857
- Phone
- (208) 514-2528
- Fax
- (208) 375-2217
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA-2703