MICAH RAY TOBIN

BOISE, ID
NPI1013568468
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1776)
Enumeration Date2019-09-26
Last Update Date2023-12-20
Business Address
MICAH RAY TOBIN PA
10583 W LAKE HAZEL RD
BOISE, ID 83709
Phone number: 208-302-5950
Mailing Address
MICAH RAY TOBIN PA
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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