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
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None 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.