JACOB VIAL

REXBURG, ID
NPI1275253643
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2557)
Enumeration Date2022-08-29
Last Update Date2023-09-12
Business Address
JACOB VIAL PA-C
525 S CENTER ST
REXBURG, ID 83460-0004
Phone number: 406-595-1515
Mailing Address
JACOB VIAL PA-C
651 S 2400 W UNIT 11102
REXBURG, ID 83440-5484
Phone number: 406-595-1515
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