MICHAEL JOHN SERMON

MERIDIAN, ID
NPI1841545902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA1764)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2012-07-16
Last Update Date2024-06-06
Business Address
MICHAEL JOHN SERMON PA-C
2939 W EXCURSION LN
MERIDIAN, ID 83642-5308
Phone number: 208-385-7711
Mailing Address
MICHAEL JOHN SERMON PA-C
2939 W EXCURSION LN
MERIDIAN, ID 83642-5308
Phone number: 208-385-7711
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