Individual provider · Type 1 NPI

Alison Carroll Eichenlaub, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1245741503 Active

Practice location

10583 W Lake Hazel Rd
Boise, ID 83709-6326

Mailing address

3652 S Pheasant Tail Way
Boise, ID 83716-5087

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1544 (ID)

Medical Physician Assistant: Definition to come...

23 other providers at this address

Other medical physician assistant providers in Boise

See all in Boise →

About NPI 1245741503

Alison Carroll Eichenlaub, PA-C's National Provider Identifier is 1245741503, issued on Oct 13, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Oct 13, 2017.