ALEX P CASEBOLT

BOISE, ID
NPI1346283363
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA300)
Enumeration Date2006-06-14
Last Update Date2024-05-28
Business Address
ALEX P CASEBOLT PA
6051 W EMERALD ST
BOISE, ID 83704-8969
Phone number: 208-302-5150
Mailing Address
ALEX P CASEBOLT PA
PO BOX 190930
BOISE, ID 83719-0930
Phone number: 208-367-5170
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