Individual provider · Type 1 NPI
Tate Coltan Staker, PA-C
Physician Assistant · Rexburg, ID
Practice location
130 W Main St
Rexburg, ID 83440-1827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Physician Assistant Primary | 363A00000X | PA-1932 (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 1184253585
Tate Coltan Staker, PA-C's National Provider Identifier is 1184253585, issued on Apr 7, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Rexburg, ID. The record was last updated on Oct 28, 2021.