Individual provider · Type 1 NPI

Landon Mitchel Favero

Physician Assistant · Boise, ID

NPI number 1801363577 Active

Practice location

701 E Parkcenter Blvd
Boise, ID 83706-6528

Call (208) 381-6500 Map

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

  • 475 N 500 W, Vernal, UT 84078-1907 · (801) 915-7265

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA-2428 (ID)
Physician Assistant 363A00000X11240954-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1801363577

Landon Mitchel Favero's National Provider Identifier is 1801363577, issued on Oct 31, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2023.