Back to Search
JARED WILSON, PA-C, MPAS, MED, ATC
PA-C, MPAS, MED, ATC
Surgical Physician Assistant
NPI: 1275748089IndividualAccepts Medicare
Specialties, Licenses & Credentials
Athletic Trainer
Specialist/Technologist — Athletic Trainer
Code: 2255A2300X
AT-492(ID)
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
PA-952(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2011
Contact & Hours
- Address
- 777 HOSPITAL WAY, SOUTH MOB, SUITE 204
POCATELLO, ID 83201 - Phone
- (208) 239-2110
Quick Facts
- NPI
- 1275748089
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 15
Are you this provider?
Claim Your Profile