Idaho Surgical Assistants PLLC
Idaho Surgical Assistants PLLC provides Physician Assistant services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2012.
- Licensed in
- ID
- In the registry since
- 2012
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241 Not confirmed with CMS for 14 years — call before visiting
Phone: (208) 381-2185
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-325 (ID) |
|---|
Record details
| NPI number | 1225389414 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Reanna Park — Billing Specialist · (208) 525-2090 |
| NPI enumerated | September 27, 2012 |
| Last updated in NPPES | September 27, 2012 |
| Mailing address | 1601 E 17th St, Idaho Falls, ID 83404-6313 |
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