Zachery M Brunson PA-C

NPI 1447296785 - Physician Assistant - 363AM0700X

NPI Details
NPI 1447296785
Gender Male
Enumeration Date 06/22/2006
Last Updated 01/03/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2088 E 25TH ST
IDAHO FALLS ID, 83404-6490, US
Phone (208) 542-3517
Fax (208) 524-9390
Business Location
2088 E 25TH ST
IDAHO FALLS ID, 83404-6490, US
Phone (208) 542-3517
Fax (208) 524-9390
Toxanomy
Taxonomy Code 363AM0700X
License State Idaho
License Number PA-607
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According to our database, Zachery M Brunson PA-C NPI is 1447296785, taxonomy code is 363AM0700X and license number is PA-607, license state is located at Idaho. Zachery M Brunson PA-C physically located at 2088 E 25th St, Idaho Falls ID, 83404-6490. NPI Number Zachery M Brunson PA-C has the Individual type.

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1447296785 NPI number is provided on an as is basis without warranty of any kind. 1447296785 is maintained by the National Plan & Provider Enumeration System. The contents of Zachery M Brunson PA-C are for informational purposes only.