JAMES LEE BURRUP

BOISE, ID
NPI1659627586
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-991)
Enumeration Date2012-07-30
Last Update Date2022-03-15
Business Address
Mr. JAMES LEE BURRUP PA
500 W. FORT ST. # 111
BOISE, ID 83702
Phone number: 208-422-1000
Mailing Address
Mr. JAMES LEE BURRUP PA
13153 W PAINT DR
BOISE, ID 83713-1928
Phone number: 208-918-2336