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EVAN IVIE, PA
PA
Physician Assistant
NPI: 1558765891IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA-1265(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2014
Contact & Hours
- Address
- 3456 E 17TH ST STE 190
AMMON, ID 83406 - Phone
- (208) 524-2222
Quick Facts
- NPI
- 1558765891
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 12
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