Individual provider · Type 1 NPI

Sean Rainwater

Medical Physician Assistant · Boise, ID

NPI number 1326720491 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Fax (208) 381-1873

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-2643 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1326720491

Sean Rainwater's National Provider Identifier is 1326720491, issued on Aug 7, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Dec 12, 2023.