JOHN DAVID MCDERMOTT

EAGLE, ID
NPI1689627069
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PRA103)
Enumeration Date2006-05-18
Last Update Date2012-09-04
Business Address
JOHN DAVID MCDERMOTT P.A.
3101 E STATE ST SUITE 2120
EAGLE, ID 83616
Phone number: 208-473-3275
Mailing Address
JOHN DAVID MCDERMOTT P.A.
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222