Individual provider · Type 1 NPI

Bennett Briard Hofmeister

Medical Physician Assistant · Meridian, ID

NPI number 1235856568 Active

Practice location

520 S Eagle Rd
Meridian, ID 83642-6351

Call (208) 706-5000 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA-2416 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1235856568

Bennett Briard Hofmeister's National Provider Identifier is 1235856568, issued on Oct 26, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Feb 1, 2023.