BROOKE LEE SKINNER

POCATELLO, ID
NPI1659038669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2154)
Enumeration Date2021-11-24
Last Update Date2021-12-18
Business Address
BROOKE LEE SKINNER Physician Assistant
110 VISTA DR
POCATELLO, ID 83201-5824
Phone number: 208-234-2300
Mailing Address
BROOKE LEE SKINNER Physician Assistant
4728 REVOLUTION RD
CHUBBUCK, ID 83202-1986
Phone number: 208-251-8700
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