ST BENEDICTS FMC PHYSICIAN ASSISTANTS

JEROME, ID
NPI1700053774
Entity TypeOrganization
Authorized ContactALAN STEVENSON
Administrator
208-324-1122
Organization Subpart ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  08)
Enumeration Date2008-05-09
Last Update Date2008-05-09
Business Address
ST BENEDICTS FMC PHYSICIAN ASSISTANTS
709 N LINCOLN AVE
JEROME, ID 83338-1851
Phone number: 208-324-4301
Mailing Address
ST BENEDICTS FMC PHYSICIAN ASSISTANTS
709 N LINCOLN AVE
JEROME, ID 83338-1851
Phone number: 208-324-4301
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