Individual provider · Type 1 NPI

Corbin Bunnage, PA-C

Medical Physician Assistant · Idaho Falls, ID

NPI number 1447325485 Active

Practice location

740 S Woodruff Ave
Idaho Falls, ID 83401-5285

Call (208) 542-9111 Map

Fax (208) 542-9114

Mailing address

915 South Utah Avenue #100
Idaho Falls, ID 83402

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA-267 (ID)
Medical Physician Assistant Primary 363AM0700XPA-267 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1447325485

Corbin Bunnage, PA-C's National Provider Identifier is 1447325485, issued on Nov 22, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Idaho Falls, ID. The record was last updated on Mar 7, 2023.