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