NICOLAS A BREGANTE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1538485180- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 725 FAIR ST, BUHL, ID, 833166442
- Phone
- (208) 543-8271
- Fax
- (208) 543-8272
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: ID #PA-1008
Physician Assistant
License: WA #PA60141280