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DAVID E LAISY PA

PA

Physician Assistant

NPI: 1225128838IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA-2647(ID)

Education

OTHER

Class of 2004

Contact & Hours

Via practice · 3 locations total

Address
7173 E Super 1 Loop Ste A
Athol, ID 83801

Quick Facts

NPI
1225128838
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
3
Years in Practice
22

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