Individual provider · Type 1 NPI

Laura Poly, PA

Medical Physician Assistant · Boise, ID

NPI number 1386933513 Active

Practice location

500 W Fort St # 111
Boise, ID 83702-4599

Fax (208) 422-1319

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-895 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1386933513

Laura Poly, PA's National Provider Identifier is 1386933513, issued on Mar 28, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Feb 25, 2022.