Individual provider · Type 1 NPI

Jason T. Daley, PA

Medical Physician Assistant · Boise, ID

NPI number 1558664458 Active

Practice location

600 Robbins Road, Suite 401 Intermountain Orthopaedics
Boise, ID 83702

Call (208) 383-0201 Map

Fax (208) 489-4300

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-861 (ID)
Surgical Physician Assistant 363AS0400XPA-861 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1558664458

Jason T. Daley, PA's National Provider Identifier is 1558664458, issued on Dec 15, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Apr 4, 2011.