Individual provider · Type 1 NPI

Charles Frost, PA-C

Medical Physician Assistant · Nampa, ID

NPI number 1760425730 Active

Practice location

4400 E Flamingo Ave
Nampa, ID 83687-3402

Fax (208) 302-7625

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA194 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1760425730

Charles Frost, PA-C's National Provider Identifier is 1760425730, issued on Jun 14, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Nampa, ID. The record was last updated on Nov 15, 2016.