IDAHO SURGICAL ASSISTANTS PLLC
Physician Assistant at Bannock St, Boise, ID

License number
Idaho PA-325
Category
Nursing
Type
Physician Assistant
Owner
Name: REANNA PARK
Title: BILLING SPECIALIST
Phone: (208) 525-2090
Address
Address 2
190 E Bannock St, Boise, ID 83712
1601 E 17Th St, Idaho Falls, ID 83404
National Provider ID: 1225389414
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about IDAHO SURGICAL ASSISTANTS PLLC at bizstanding.com

IDAHO SURGICAL ASSISTANTS PLLC

3527 S Federal Way STE 103 #341, Boise, ID 83705

Status:
Inactive
Registration:
Mar 8, 2012
Inactive since:
Aug 28, 2013
State ID:
W111896
Business type:
LIMITED LIABILITY COMPANY

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