Andrew Logan Brower PAC

NPI 1760766976 - Physician Assistant - 363A00000X

NPI Details
NPI 1760766976
Gender Male
Enumeration Date 10/06/2011
Last Updated 10/06/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
511 N 2420 E
SAINT ANTHONY ID, 83445-5755, US
Phone (208) 221-0087
Fax
Business Location
511 N 2420 E
SAINT ANTHONY ID, 83445-5755, US
Phone (208) 221-0087
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA-939
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According to our database, Mr. Andrew Logan Brower PAC NPI is 1760766976, taxonomy code is 363A00000X and license number is PA-939, license state is located at Idaho. Andrew Logan Brower PAC physically located at 511 N 2420 E, Saint Anthony ID, 83445-5755. NPI Number Andrew Logan Brower PAC has the Individual type.

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1760766976 NPI number is provided on an as is basis without warranty of any kind. 1760766976 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Logan Brower PAC are for informational purposes only.