Organization · Type 2 NPI
Wood River Family Medicine PLLC
Medical Physician Assistant · Hailey, ID
NPI number
1346441912
Active
Practice location
706 S Main St
Hailey, ID 83333-8400
Fax (208) 788-2025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1346441912
Wood River Family Medicine PLLC's National Provider Identifier is 1346441912, issued on May 30, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Hailey, ID. The record was last updated on Jul 15, 2007.