Mr. NICHOLAS WADE BOZARTH PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1326440827- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 1101 E POLSTON AVE STE B, POST FALLS, ID, 838546045
- Phone
- (208) 747-1776
- Fax
- (208) 747-1777
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA-2131