Individual provider · Type 1 NPI

Brady G. Hamilton, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1245221258 Active

Practice location

413 N Allumbaugh St, Suite 101
Boise, ID 83704-9212

Fax (208) 323-9604

Mailing address

413 N Allumbaugh St Ste 101
Boise, ID 83704-9219

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-754 (ID)

Medical Physician Assistant: Definition to come...

21 other providers at this address

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About NPI 1245221258

Brady G. Hamilton, PA-C's National Provider Identifier is 1245221258, issued on Oct 31, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Apr 21, 2021.