Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Vial, PA-C

Individual provider Physician Assistant · NPI 1275253643

Jacob Vial, PA-C is a Physician Assistant in Rexburg, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

525 S Center St
Rexburg, ID 83460-0004
Phone: (406) 595-1515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2557 (ID)

Record details

NPI number1275253643
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 29, 2022
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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