PADEN GONZALES

EMMETT, ID
NPI1477391357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2024-07-16
Last Update Date2024-07-16
Business Address
PADEN GONZALES
207 E 12TH ST
EMMETT, ID 83617-3626
Phone number: 208-365-1065
Mailing Address
PADEN GONZALES
1313 ANTELOPE AVE
MIDDLETON, ID 83644-5865
Phone number: 208-420-7270