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“Physician Assistant” (Mountain Home Afb, ID)

Location: Mountain Home Afb, 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.
1336800945 — AMANDA MARIE RALSTON PA
Practice Location Address:
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062
Practice Phone: 208-828-7900
1376355867 — ALYSSA MAY PEREZ PA-C
Practice Location Address:
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062
Practice Phone: 208-828-6806
1518193507 — MR. PAULO RAFAEL DEPAULA PA-C
Practice Location Address:
90 HOPE DR
MOUNTAIN HOME AFB ID
83648-1057
Practice Phone: 88-287-9002
1568123818 — KAYLA AZALEA POPE PA-C
Practice Location Address:
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB ID
83648-1062
Practice Phone: 208-828-7900

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