Individual provider · Type 1 NPI

Noah Bernal

Medical Physician Assistant · Idaho Falls, ID

NPI number 1003461401 Active

Practice location

3614 Washington Pkwy
Idaho Falls, ID 83404-7573

Call (208) 535-4343 Map

Mailing address

6410 E Mansion Hill Dr
Ammon, ID 83406-4707

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010XPA-1924 (ID)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1003461401

Noah Bernal's National Provider Identifier is 1003461401, issued on Aug 3, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 21, 2024.