Landon Mitchel Favero
Landon Mitchel Favero is a Physician Assistant in Boise, Idaho. Qualified in 2018, 8 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and Utah.
- Years since qualifying
- 8
- Licensed in
- ID, UT
- In the registry since
- 2018
- Specialties on file
- 3
Practice location Address checks out
Boise, IDNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 475 N 500 W, Vernal, UT 84078-1907 — (801) 915-7265
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2428 (ID) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Physician Assistant | Taxonomy 363A00000X · Licence 11240954-1206 (UT) |
Record details
| NPI number | 1801363577 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 31, 2018 |
| Last updated in NPPES | August 22, 2023 |
| Certification date | August 22, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Boise
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Andrew Dysart, MD
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MS. Amaya Aurora Eiguren, MA, LPC
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Santina Marie Ellison, MD
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Emerson V Evans, DO
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MS. Erin Fennern
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Leah R Fleming, MD
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Carlee Renee Fountaine, MD
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Anne Jordan Fox, MD
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