JASON T DALEY

BOISE, ID
NPI1558664458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-861)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: ID  PA-861)
Enumeration Date2010-12-15
Last Update Date2011-04-04
Business Address
Mr. JASON T DALEY PA
600 ROBBINS ROAD SUITE 401 INTERMOUNTAIN ORTHOPAEDICS
BOISE, ID 83702
Phone number: 208-383-0201
Mailing Address
Mr. JASON T DALEY PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-383-0201