DANIEL SETH FANKHAUSER

CALDWELL, ID
NPI1265112700
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2703)
Enumeration Date2023-07-19
Last Update Date2024-03-25
Business Address
DANIEL SETH FANKHAUSER
315 E ELM ST STE 201
CALDWELL, ID 83605-4857
Phone number: 208-514-2528
Mailing Address
DANIEL SETH FANKHAUSER
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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