JAY DEAN BURRUP

MERIDIAN, 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 Date2025-02-07
Business Address
Mr. JAY DEAN BURRUP PA-C
3399 E LOUISE DR STE 400
MERIDIAN, ID 83642-5212
Phone number: 208-706-4650
Mailing Address
Mr. JAY DEAN BURRUP PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8752
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