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JACESON BANHAM, PA-C

PA-C

Physician Assistant

NPI: 1295544344IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

8671842(ID)

CMS Specialties

Education

OTHER

Class of 2024

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Contact & Hours

Via practice · 2 locations total

Address
3425 POTOMAC WAY
IDAHO FALLS, ID 83404

Quick Facts

NPI
1295544344
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
2
Years in Practice
2

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