Individual provider · Type 1 NPI

Larry Michael Oborn, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1942219233 Active

Practice location

11197 W Fairview Ave
Boise, ID 83713-7935

Call (208) 378-8011 Map

Fax (208) 322-8095

Mailing address

PO Box 191050
Boise, ID 83719-1050

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XPA11201 (CA)
Medical Physician Assistant Primary 363AM0700XPA-1099 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1942219233

Larry Michael Oborn, PA-C's National Provider Identifier is 1942219233, issued on Aug 5, 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 Jul 8, 2014.