JONATHAN GRANT CASTO

MOUNTAIN HOME, ID
NPI1952738577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WV  01742)
Enumeration Date2013-09-27
Last Update Date2024-05-14
Business Address
Mr. JONATHAN GRANT CASTO PA-C
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647-1038
Phone number: 208-587-3988
Mailing Address
Mr. JONATHAN GRANT CASTO PA-C
120 DESERT SAGE WAY
MOUNTAIN HOME, ID 83647-1038
Phone number: 208-696-7203
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