Individual provider · Type 1 NPI

Jason John Overocker, PA-C

Surgical Physician Assistant · Boise, ID

NPI number 1033581269 Active

Practice location

305 E Jefferson St
Boise, ID 83712-6231

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 3100 Channing Way, Idaho Falls, ID 83404-7533 · (706) 863-9595

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA-1466 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1033581269

Jason John Overocker, PA-C's National Provider Identifier is 1033581269, issued on Oct 27, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on Mar 14, 2023.