-- ANTHONY FREDERICK BUSHNELL -- PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1417376229- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 315 EAST ELM STE 100, CALDWELL, ID, 83605
- Phone
- (208) 459-7415
- Fax
- (208) 453-3307
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA-1135