Individual provider · Type 1 NPI

Susan E. Paytash, PA

Medical Physician Assistant · Boise, ID

NPI number 1912073370 Active

Practice location

1673 W Shoreline Dr, Suite 120
Boise, ID 83702-6749

Fax (208) 429-8310

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA596 (ID)
Medical Physician Assistant 363AM0700XPA-596 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1912073370

Susan E. Paytash, PA's National Provider Identifier is 1912073370, issued on Nov 28, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Feb 20, 2013.