John Douglas Trueblood, PAC
John Douglas Trueblood, PAC is a Physician Assistant in Cottonwood, Idaho. Qualified in 2002, 24 years ago. Practices with St Marys Hospital Inc, a 21-clinician group and accepts Medicare assignment. Licensed in California and Idaho.
- Years since qualifying
- 24
- Licensed in
- CA, ID
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
701 Lewiston StCottonwood, ID 83522
Phone: (208) 962-3267
Fax: (208) 962-3722
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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 PA1623 (ID) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence PA16906 (CA) |
Record details
| NPI number | 1629047931 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | March 17, 2006 |
| Last updated in NPPES | August 16, 2023 |
| Certification date | August 16, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | St Marys Hospital Inc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Cottonwood
-
John Beeh, PAC
701 Lewiston St, Cottonwood, ID 83522-9750 · (208) 962-3251
-
Andrea Krogh, PA-C
701 Lewiston St, Cottonwood, ID 83522-0565 · (208) 962-3267