JACOB WALKER

BURLEY, ID
NPI1033651989
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1452)
Enumeration Date2016-11-09
Last Update Date2016-11-09
Business Address
-- JACOB WALKER PA-C
382 N OVERLAND AVE
BURLEY, ID 83318-3433
Phone number: 208-678-6996
Mailing Address
-- JACOB WALKER PA-C
738 MONROE ST
TWIN FALLS, ID 83301-3857
Phone number: 208-404-2333
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