Jimmie Jason Barnwell PA-C

NPI 1326204363 - Physician Assistant - 363AM0700X

NPI Details
NPI 1326204363
Gender Male
Enumeration Date 07/30/2008
Last Updated 07/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3010 CONDA RD
SODA SPRINGS ID, 83276-5301, US
Phone (208) 547-4381
Fax (208) 547-2553
Business Location
3010 CONDA RD
SODA SPRINGS ID, 83276-5301, US
Phone (208) 547-4381
Fax (208) 547-2553
Toxanomy
Taxonomy Code 363AM0700X
License State Idaho
License Number PA-717
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According to our database, Mr. Jimmie Jason Barnwell PA-C NPI is 1326204363, taxonomy code is 363AM0700X and license number is PA-717, license state is located at Idaho. Jimmie Jason Barnwell PA-C physically located at 3010 Conda Rd, Soda Springs ID, 83276-5301. NPI Number Jimmie Jason Barnwell PA-C has the Individual type.

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1326204363 NPI number is provided on an as is basis without warranty of any kind. 1326204363 is maintained by the National Plan & Provider Enumeration System. The contents of Jimmie Jason Barnwell PA-C are for informational purposes only.