JOHN ANTHONY MEBANE

BOISE, ID
NPI1649368242
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-576)
Enumeration Date2006-10-10
Last Update Date2022-03-28
Business Address
JOHN ANTHONY MEBANE PA
500 W FORT ST # 111
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
JOHN ANTHONY MEBANE PA
966 PIERCE CT
BOISE, ID 83712-7447
Phone number: 208-422-1325