JOSEBA BIDABURU

MERIDIAN, ID
NPI1821727140
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2742)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-10
Last Update Date2024-04-25
Business Address
JOSEBA BIDABURU
3280 E LANARK DR
MERIDIAN, ID 83642-5982
Phone number: 208-895-8670
Mailing Address
JOSEBA BIDABURU
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-985-1423