St Benedicts Fmc Physician Assistants
St Benedicts Fmc Physician Assistants provides Physician Assistant services in Jerome, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
709 N Lincoln AveJerome, ID 83338-1851 Not confirmed with CMS for 18 years — call before visiting
Phone: (208) 324-4301
Fax: (208) 324-9529
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 08 (ID) |
|---|
Record details
| NPI number | 1700053774 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | St Benedicts Family Medical Center |
| Authorized official | Alan Stevenson — Administrator · (208) 324-1122 |
| NPI enumerated | May 9, 2008 |
| Last updated in NPPES | May 9, 2008 |
| Mailing address | 709 N Lincoln Ave, Jerome, ID 83338-1851 |
Other providers in Jerome
-
Mrs. Yolanda S. Sedano, PA-C
132 5th Ave W, Jerome, ID 83338 · (208) 324-5286