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“Medical Physician Assistant” (Blackfoot, ID)

Location: Blackfoot, ID
Taxonomy: Medical Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1023260783 — SHAWNA MARIE REYNOLDS PA
Practice Location Address:
1441 PARKWAY DR
BLACKFOOT ID
83221-0000
Practice Phone: 208-785-2600
1043180730 — SCOTT RYAN MANGUM PA-C
Practice Location Address:
98 POPLAR ST
BLACKFOOT ID
83221-1799
Practice Phone: 208-785-4100
1518157544 — MRS. STACY COOPER PA-C
Practice Location Address:
98 POPLAR ST
BLACKFOOT ID
83221-1758
Practice Phone: 208-785-4100
1790403178 — JUSTIN GREGG NELSON PA-C
Practice Location Address:
98 POPLAR ST
BLACKFOOT ID
83221-1758
Practice Phone: 208-785-4100

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