JUDE BOUTKASKA

BOISE, ID
NPI1801948591
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA343)
Enumeration Date2007-01-16
Last Update Date2021-04-16
Business Address
Mr. JUDE BOUTKASKA PA
413 ALLUMBAUGH ST SUITE 101
BOISE, ID 83704-9212
Phone number: 208-362-6162
Mailing Address
Mr. JUDE BOUTKASKA PA
413 ALLUMBAUGH ST SUITE 101
BOISE, ID 83704-9212
Phone number: 208-362-6162
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