Individual provider · Type 1 NPI

Patricia D. Berglund, PA

Medical Physician Assistant · Boise, ID

NPI number 1699782045 Active

Practice location

500 W Fort St
Boise, ID 83702-4501

Fax (208) 422-1952

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA-30 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1699782045

Patricia D. Berglund, PA's National Provider Identifier is 1699782045, issued on Aug 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.