Ian B Kunz PA

NPI 1174535835 - Physician Assistant - 363A00000X

NPI Details
NPI 1174535835
Gender Male
Enumeration Date 08/12/2006
Last Updated 03/07/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
134 4TH AVE W
267 N. CANYON DR
GOODING ID, 83330, US
Phone (208) 934-4446
Fax (208) 934-4442
Business Location
134 4TH AVE W
GOODING ID, 83330, US
Phone (208) 934-4446
Fax (208) 934-4442
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA96
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According to our database, Ian B Kunz PA NPI is 1174535835, taxonomy code is 363A00000X and license number is PA96, license state is located at Idaho. Ian B Kunz PA physically located at 134 4th Ave W, Gooding ID, 83330. NPI Number Ian B Kunz PA has the Individual type.

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1174535835 NPI number is provided on an as is basis without warranty of any kind. 1174535835 is maintained by the National Plan & Provider Enumeration System. The contents of Ian B Kunz PA are for informational purposes only.