JOSHUA SHANE BLANCHARD

POCATELLO, ID
NPI1407537400
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2561)
Enumeration Date2023-07-31
Last Update Date2023-07-31
Business Address
JOSHUA SHANE BLANCHARD PA-C
495 YELLOWSTONE AVE
POCATELLO, ID 83201-4531
Phone number: 208-478-7422
Mailing Address
JOSHUA SHANE BLANCHARD PA-C
4666 PAHSIMEROI DR
POCATELLO, ID 83202-4959
Phone number:
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