JONATHAN SUBAITANI PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1821529918- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 219 S WOODDALE AVE, EAGLE, ID, 836167714
- Phone
- (703) 928-7266
Specialties & Taxonomies
Physician Assistant
Physician Assistant
Primary License: ID #PA-1596
Emergency Medicine, Emergency Medical Services
License: VA #0110005599