ANTHONY FREDERICK BUSHNELL

CALDWELL, ID
NPI1417376229
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1135)
Enumeration Date2014-04-09
Last Update Date2015-12-02
Business Address
-- ANTHONY FREDERICK BUSHNELL PA-C
315 EAST ELM STE 100
CALDWELL, ID 83605
Phone number: 208-459-7415
Mailing Address
-- ANTHONY FREDERICK BUSHNELL PA-C
3340 E GOLDTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-459-7415
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