Individual provider · Type 1 NPI

Jude Boutkaska, PA

Medical Physician Assistant · Boise, ID

NPI number 1801948591 Active

Practice location

413 Allumbaugh St, Suite 101
Boise, ID 83704-9212

Fax (208) 362-9604

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA343 (ID)

Medical Physician Assistant: Definition to come...

13 other providers at this address

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About NPI 1801948591

Jude Boutkaska, PA's National Provider Identifier is 1801948591, issued on Jan 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Apr 16, 2021.