Heather Faye Grimmett PA

NPI 1073792586 - Physician Assistant - 363A00000X

NPI Details
NPI 1073792586
Gender Female
Enumeration Date 10/31/2007
Last Updated 10/31/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1441 PARKWAY DR
BLACKFOOT ID, 83221-1667, US
Phone (208) 785-2600
Fax
Business Location
1441 PARKWAY DR
BLACKFOOT ID, 83221-1667, US
Phone (208) 785-2600
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA-702
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According to our database, Heather Faye Grimmett PA NPI is 1073792586, taxonomy code is 363A00000X and license number is PA-702, license state is located at Idaho. Heather Faye Grimmett PA physically located at 1441 Parkway Dr, Blackfoot ID, 83221-1667. NPI Number Heather Faye Grimmett PA has the Individual type.

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1073792586 NPI number is provided on an as is basis without warranty of any kind. 1073792586 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Faye Grimmett PA are for informational purposes only.