Individual provider · Type 1 NPI

Johnathon Chase Wilde, PA-C

Physician Assistant · Idaho Falls, ID

NPI number 1073231999 Active

Practice location

3820 Crestwood Ln
Idaho Falls, ID 83404-4979

Call (208) 552-7700 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X8361377 (ID)

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 1073231999

Johnathon Chase Wilde, PA-C's National Provider Identifier is 1073231999, issued on Aug 16, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 26, 2024.