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NPI Code Detail

MEDICARE: ROBERT CHASE MCDONALD PA-C

MEDICARE:   ROBERT CHASE MCDONALD  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA10005181WA
2363A00000XPhysician AssistantPA-1451ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10221381OTHERWALABOR & IND.
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
38944544OTHERWACRIME VICTIMS

General Provider Information

NPI Number : 1285763862
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT CHASE MCDONALD PA-C
Provider Business Mailing Address
First Line : PO BOX 190930
Second Line :
City : BOISE
State : ID
Zip : 83719-0930
Country : US
Telephone Number : 208-367-5170
Fax Number : 208-367-5180
Provider Business Practice Location Address
First Line : 1150 N SISTER CATHERINE WAY
Second Line :
City : NAMPA
State : ID
Zip : 83687-3133
Country : US
Telephone Number : 208-302-7050
Fax Number : 208-302-7055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 11/08/2024

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Directions to “ ROBERT CHASE MCDONALD PA-C” Practice Location

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