JAY DEAN BURRUP

BOISE, ID
NPI1144504556
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1593)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2011-10-04
Last Update Date2024-09-20
Business Address
Mr. JAY DEAN BURRUP PA-C
6165 W EMERALD ST
BOISE, ID 83704-8613
Phone number: 208-302-3900
Mailing Address
Mr. JAY DEAN BURRUP PA-C
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-302-9342
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