Individual provider · Type 1 NPI

Jeremy Dalley, PA-C

Medical Physician Assistant · Meridian, ID

NPI number 1306273552 Active

Practice location

1618 S Millenium Way Ste 100
Meridian, ID 83642-6457

Call (208) 884-3376 Map

Fax (208) 884-0858

Mailing address

1411 Fillmore St, Ste 600
Twin Falls, ID 83301-3343

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1306273552

Jeremy Dalley, PA-C's National Provider Identifier is 1306273552, issued on Oct 2, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Aug 13, 2026.