LOGAN HILL

BOISE, ID
NPI1932797248
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1988)
Enumeration Date2021-01-04
Last Update Date2021-07-20
Business Address
LOGAN HILL PA-C
1907 S BROADWAY AVE STE 100
BOISE, ID 83706-4228
Phone number: 208-345-1222
Mailing Address
LOGAN HILL PA-C
PO BOX 191050
BOISE, ID 83719-1050
Phone number: 208-955-6500
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