VICTOR M ISHIDA

FRUITLAND, ID
NPI1194894113
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA423)
Enumeration Date2006-11-06
Last Update Date2022-06-10
Business Address
VICTOR M ISHIDA P.A.
910 NW 16TH ST STE 101
FRUITLAND, ID 83619-2265
Phone number: 208-452-8050
Mailing Address
VICTOR M ISHIDA P.A.
910 NW 16TH ST STE 101
FRUITLAND, ID 83619-2265
Phone number: 208-452-8050
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