TAKAHISA KOIDE, PA

PA

Physician Assistant

NPI: 1508514456IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA-2208(ID)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2021

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Contact & Hours

Address: 700 CALDWELL BLVD
NAMPA, ID 83651
Phone: (208) 466-6567

Quick Facts

NPI: 1508514456
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 1
Locations: 1
Years in Practice: 5

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