DANIEL THANE WINWARD

TWIN FALLS, ID
NPI1558838136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Additional Taxonomies363A00000X Physician Assistant
(Licence: NV  PA0423)
Enumeration Date2018-10-31
Last Update Date2022-04-12
Business Address
DANIEL THANE WINWARD PA-C
2550 ADDISON AVE E
TWIN FALLS, ID 83301-6767
Phone number: 208-814-8000
Mailing Address
DANIEL THANE WINWARD PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: