Individual provider · Type 1 NPI

Jonathan B. Pittard, PA-C

Medical Physician Assistant · Twin Falls, ID

NPI number 1376876599 Active

Practice location

243 Cheney Dr W Ste 200
Twin Falls, ID 83301-4278

Fax (208) 736-8905

Mailing address

243 Cheney Dr W
Twin Falls, ID 83301-4277

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA804 (ID)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1376876599

Jonathan B. Pittard, PA-C's National Provider Identifier is 1376876599, issued on Sep 8, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Twin Falls, ID. The record was last updated on Dec 4, 2023.