Individual provider · Type 1 NPI

Derek Eddie, PA-C

Medical Physician Assistant · Pocatello, ID

NPI number 1346375367 Active

Practice location

560 Memorial Dr
Pocatello, ID 83201-4073

Fax (208) 233-5033

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-662 (ID)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1346375367

Derek Eddie, PA-C's National Provider Identifier is 1346375367, issued on Feb 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Jul 8, 2007.