Idahormones
Idahormones is a Physician Assistant in Meridian, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3648 N Centrepoint Way Ste 110Meridian, ID 83646-7626
Phone: (208) 874-2394
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1114600277 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jamie Ruiz — Owner · (208) 874-2394 |
| NPI enumerated | August 7, 2023 |
| Last updated in NPPES | August 7, 2023 |
| Certification date | August 7, 2023 |
| Mailing address | 4954 W Grey Towers Dr, Meridian, ID 83642-9281 |
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