Organization · Type 2 NPI
Lee Self MD PA
Specialist · Emmett, ID
NPI number
1346400744
Active
Practice location
2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Fax (208) 584-9341
Mailing address
23000 Sweet Ola Hwy
Ola, ID 83657-5027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | M7844 (ID) |
| Primary Care Clinic/Center | 261QP2300X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5 other providers at this address
- Hines Orthopedics and Sports Medicine, PLLCOrthopaedic Surgery Physician Emmett, ID NPI 1114891074
- Jonathan Barrus Do PCFamily Medicine Physician Emmett, ID NPI 1699375659
- Andrea Walsh, DNP, FNP-CFamily Nurse Practitioner Emmett, ID NPI 1376992503
- Jonathan Bret Barrus, DOFamily Medicine Physician Emmett, ID NPI 1346654589
- Lee Self, MDGynecology Physician Emmett, ID NPI 1639121361
Other specialist providers in Emmett
About NPI 1346400744
Lee Self MD PA's National Provider Identifier is 1346400744, issued on Jun 10, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Emmett, ID. The record was last updated on Mar 24, 2023.