Individual provider · Type 1 NPI
Jared Kent Wilson, PA-C, MPAS, MED, ATC
Surgical Physician Assistant · Pocatello, ID
NPI number
1275748089
Active
Practice location
777 Hospital Way, South Mob, Suite 204
Pocatello, ID 83201-5175
Fax (208) 239-2119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | AT-492 (ID) |
| Surgical Physician Assistant Primary | 363AS0400X | PA-952 (ID) |
Surgical Physician Assistant: Definition to come...
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Other surgical physician assistant providers in Pocatello
- Sarah Malloy, PASurgical Physician Assistant Pocatello, ID NPI 1558109884
- Jessica Bailey, PASurgical Physician Assistant Pocatello, ID NPI 1588909261
- Steven L. Nelson, PA-CSurgical Physician Assistant Pocatello, ID NPI 1659689362
- David M. McDonald, PA-CSurgical Physician Assistant Pocatello, ID NPI 1710280144
- Lance W. McKay, P.A.-CSurgical Physician Assistant Pocatello, ID NPI 1720379597
- Justin C. Pool, PA-CSurgical Physician Assistant Pocatello, ID NPI 1952402257
- Dale McKay Belnap, PA-CSurgical Physician Assistant Pocatello, ID NPI 1962832923
About NPI 1275748089
Jared Kent Wilson, PA-C, MPAS, MED, ATC's National Provider Identifier is 1275748089, issued on May 14, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pocatello, ID. The record was last updated on Aug 3, 2025.