Individual provider · Type 1 NPI

Angela G. Hatch, PA-C

Medical Physician Assistant · Pocatello, ID

NPI number 1376946012 Active

Practice location

777 Hospital Way
Pocatello, ID 83201-5175

Fax (480) 421-9899

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-1195 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1376946012

Angela G. Hatch, PA-C's National Provider Identifier is 1376946012, issued on Oct 8, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pocatello, ID. The record was last updated on Oct 8, 2014.