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1558838136
DANIEL THANE WINWARD
TWIN FALLS, ID
NPI
1558838136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: NV PA0423)
Enumeration Date
2018-10-31
Last Update Date
2022-04-12
Business Address
DANIEL THANE WINWARD PA-C
2550 ADDISON AVE E
TWIN FALLS, ID 83301-6767
Phone number: 208-814-8000
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Mailing Address
DANIEL THANE WINWARD PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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