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“Physician Assistant” (Fort Hall, ID)

Location: Fort Hall, ID
Taxonomy: 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.
1063740082 — MISS CHANTELLE E BOWMAN PA-C
Practice Location Address:
717 MISSION ROAD COMMUNITY HEALTH NURSING PROGRAM
FORT HALL ID
83203
Practice Phone: 208-238-5435
1407862139 — MR. JAMES PICANCO SR. P.A.-C
Practice Location Address:
MISSION ROAD
FORT HALL ID
83203-0717
Practice Phone: 208-238-5427

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