SCOTT K M KNUDSEN

MOUNTAIN HOME, ID
NPI1629651666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2589)
Enumeration Date2021-04-28
Last Update Date2024-04-25
Business Address
SCOTT K M KNUDSEN PA
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647-1038
Phone number: 208-587-3988
Mailing Address
SCOTT K M KNUDSEN PA
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647-1038
Phone number: 208-587-3988