Individual provider · Type 1 NPI

Charles Edward Brioschi Jr., PA

Medical Physician Assistant · Fruitland, ID

NPI number 1083086870 Active

Practice location

910 NW 16th Street, Ste 205
Fruitland, ID 83619-2265

Call (208) 452-3111 Map

Fax (208) 452-3666

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1317 (ID)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1083086870

Charles Edward Brioschi Jr., PA's National Provider Identifier is 1083086870, issued on Oct 20, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fruitland, ID. The record was last updated on Feb 17, 2016.