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 Date2023-05-03
Business Address
Mr. JAY DEAN BURRUP PA-C
1525 S OWYHEE ST
BOISE, ID 83705-6014
Phone number: 208-392-3354
Mailing Address
Mr. JAY DEAN BURRUP PA-C
1940 S BONITO WAY STE 190
MERIDIAN, ID 83642-5618
Phone number: 208-287-9420
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