DERRICK A ROWE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1851624340- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 805 N 6TH E, MOUNTAIN HOME, ID, 836472207
- Phone
- (208) 587-2450
- Fax
- (208) 587-2451
Specialties & Taxonomies
Physician Assistant
License: MT #580
Physician Assistant
Primary License: ID #PA-1399
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241