Alaina A Sutherlin MS PA-C

NPI 1710231238 - Physician Assistant - 363AS0400X

NPI Details
NPI 1710231238
Gender Female
Enumeration Date 11/06/2012
Last Updated 03/23/2016
Entity Type Individual
Active Over 4 years ago
Practice Location
100 E. IDAHO ST.
SUITE 400
BOISE ID, 83712, US
Phone (208) 345-5250
Fax
Business Location
100 E. IDAHO ST.
SUITE 400
BOISE ID, 83712, US
Phone (208) 345-5250
Fax (414) 385-7159
Toxanomy
Taxonomy Code 363AS0400X
License State Wisconsin
License Number 3053-23
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According to our database, Miss Alaina A Sutherlin MS PA-C NPI is 1710231238, taxonomy code is 363AS0400X and license number is 3053-23, license state is located at Wisconsin. Alaina A Sutherlin MS PA-C physically located at 100 E. Idaho St., Boise ID, 83712. NPI Number Alaina A Sutherlin MS PA-C has the Individual type.

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1710231238 NPI number is provided on an as is basis without warranty of any kind. 1710231238 is maintained by the National Plan & Provider Enumeration System. The contents of Alaina A Sutherlin MS PA-C are for informational purposes only.