CHARLES FROST

NAMPA, ID
NPI1760425730
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA194)
Enumeration Date2006-06-14
Last Update Date2016-11-15
Business Address
-- CHARLES FROST PA-C
4400 E FLAMINGO AVE
NAMPA, ID 83687-3402
Phone number: 208-302-7640
Mailing Address
-- CHARLES FROST PA-C
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-302-7640
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