MITCHEL B VELLINGA

CHUBBUCK, ID
NPI1184323438
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  2771770)
Enumeration Date2023-02-27
Last Update Date2025-10-15
Business Address
MITCHEL B VELLINGA PA-S, CMA
880 W QUINN RD
CHUBBUCK, ID 83202-2454
Phone number: 208-238-2000
Mailing Address
MITCHEL B VELLINGA PA-S, CMA
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number:
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