Organization · Type 2 NPI

Prestige Wellness Clinic

Medical Physician Assistant · Rigby, ID

NPI number 1720867153 Active

Practice location

3749 E 343 N
Rigby, ID 83442-5326

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

Another provider at this address

About NPI 1720867153

Prestige Wellness Clinic's National Provider Identifier is 1720867153, issued on Sep 25, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rigby, ID. The record was last updated on Sep 25, 2023.