JED BURKE WILLARDSON

IDAHO FALLS, ID
NPI1578716072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-779)
Enumeration Date2008-10-28
Last Update Date2009-03-04
Business Address
-- JED BURKE WILLARDSON PA
2377 CORONADO ST SUITE C
IDAHO FALLS, ID 83404-7440
Phone number: 208-523-7246
Mailing Address
-- JED BURKE WILLARDSON PA
PO BOX 2404
IDAHO FALLS, ID 83403-2404
Phone number: 208-523-7246
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