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1740223148
SCOTT D SCHRADER
TWIN FALLS, ID
NPI
1740223148
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID PA-271)
Enumeration Date
2006-06-14
Last Update Date
2009-12-31
Business Address
-- SCOTT D SCHRADER P.A.
650 ADDISON AVE W
TWIN FALLS, ID 83301-5444
Phone number: 208-732-3429
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Mailing Address
-- SCOTT D SCHRADER P.A.
PO BOX 1657
TWIN FALLS, ID 83303-1657
Phone number: 208-734-3356
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