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STANFORD GAMMON, P.A.
P.A.
Surgical Physician Assistant
NPI: 1477992592IndividualAccepts Medicare
Specialties, Licenses & Credentials
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
PA-1328(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2013
Contact & Hours
- Address
- 3345 POTOMAC WAY
IDAHO FALLS, ID 83404 - Phone
- (208) 552-7572
Quick Facts
- NPI
- 1477992592
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 13
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