Individual provider · Type 1 NPI

Molly C. Piccono, PA

Surgical Physician Assistant · Boise, ID

NPI number 1881739274 Active

Practice location

6140 W Curtisian Ave, Suite 100
Boise, ID 83704-0109

Call (208) 367-7090 Map

Fax (208) 367-7092

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XPA659 (ID)
Surgical Physician Assistant Primary 363AS0400XPA-659 (ID)

Surgical Physician Assistant: Definition to come...

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About NPI 1881739274

Molly C. Piccono, PA's National Provider Identifier is 1881739274, issued on Feb 21, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boise, ID. The record was last updated on Dec 5, 2013.