Steven Boe Simmons P.A.

NPI 1740212190 - Physician Assistant - 363A00000X

NPI Details
NPI 1740212190
Gender Male
Enumeration Date 07/07/2006
Last Updated 03/10/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
333 N 18TH AVE
SUITE D-1
POCATELLO ID, 83201-3358, US
Phone (208) 233-2100
Fax (208) 233-3146
Business Location
333 N 18TH AVE
SUITE D-1
POCATELLO ID, 83201-3358, US
Phone (208) 233-2100
Fax (208) 233-3146
Toxanomy
Taxonomy Code 363A00000X
License State Idaho
License Number PA-272
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According to our database, Steven Boe Simmons P.A. NPI is 1740212190, taxonomy code is 363A00000X and license number is PA-272, license state is located at Idaho. Steven Boe Simmons P.A. physically located at 333 N 18th Ave, Pocatello ID, 83201-3358. NPI Number Steven Boe Simmons P.A. has the Individual type.

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1740212190 NPI number is provided on an as is basis without warranty of any kind. 1740212190 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Boe Simmons P.A. are for informational purposes only.