NICHOLAS WADE BOZARTH

HAYDEN, ID
NPI1326440827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-2131)
Enumeration Date2014-09-16
Last Update Date2025-03-27
Business Address
Mr. NICHOLAS WADE BOZARTH PA-C
8181 N CORNERSTONE DR
HAYDEN, ID 83835-8752
Phone number: 208-770-8818
Mailing Address
Mr. NICHOLAS WADE BOZARTH PA-C
1101 E POLSTON AVE STE B
POST FALLS, ID 83854-6045
Phone number: 208-747-1776