ERIC R MAUS

NAMPA, ID
NPI1114948809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-131)
Enumeration Date2006-07-21
Last Update Date2007-07-08
Business Address
Mr. ERIC R MAUS PAC
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5100
Mailing Address
Mr. ERIC R MAUS PAC
6228 N BELLECREEK AVE
BOISE, ID 83713-1399
Phone number: 208-841-9283
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