TYLER JORDAN MCKINNON

BOISE, ID
NPI1790131480
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2016-05-11
Last Update Date2018-04-19
Business Address
TYLER JORDAN MCKINNON PA-C
7733 W EMERALD ST
BOISE, ID 83704-9020
Phone number: 208-376-3220
Mailing Address
TYLER JORDAN MCKINNON PA-C
7733 W EMERALD ST
BOISE, ID 83704-9020
Phone number: 801-866-6753