Organization · Type 2 NPI

Medical Imaging Assoc of Idaho Falls, PA

Physician Assistant · Pocatello, ID

NPI number 1043400484 Active

Practice location

777 Hospital Way
Pocatello, ID 83201-5175

Mailing address

PO Box 85495
Chicago, IL 60689-5495

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed
Medical Physician Assistant 363AM0700XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1043400484

Medical Imaging Assoc of Idaho Falls, PA's National Provider Identifier is 1043400484, issued on Aug 1, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pocatello, ID. The record was last updated on Mar 23, 2026.