Individual provider · Type 1 NPI

Jacob Radil, PA-C

Surgical Physician Assistant · Meridian, ID

NPI number 1811337017 Active

Practice location

520 S Eagle Rd Ste 1243
Meridian, ID 83642-6355

Call (208) 333-2225 Map

Fax (208) 706-7516

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLMSW # 33052 (ID)
Surgical Physician Assistant Primary 363AS0400XPA-2126 (ID)

Surgical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1811337017

Jacob Radil, PA-C's National Provider Identifier is 1811337017, issued on Jul 2, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Meridian, ID. The record was last updated on Jan 17, 2022.