Individual provider · Type 1 NPI

Addison Broc Wooldridge, PA-C

Physician Assistant · Boise, ID

NPI number 1407691835 Active

Practice location

9475 W Tillamook Dr # A
Boise, ID 83709-6173

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA-2810 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407691835

Addison Broc Wooldridge, PA-C's National Provider Identifier is 1407691835, issued on Jun 27, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Jun 27, 2024.