JARED MUDGE

PLUMMER, ID
NPI1679398929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  5761672)
Enumeration Date2024-11-21
Last Update Date2024-11-21
Business Address
JARED MUDGE PA-C
PO BOX 388
PLUMMER, ID 83851-0388
Phone number: 208-686-5133
Mailing Address
JARED MUDGE PA-C
200 S IDAHO ST
POST FALLS, ID 83854-7552
Phone number: 208-686-5133
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