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JED WILLARDSON, PA
PA
Physician Assistant
NPI: 1578716072IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
PA-779(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2008
Contact & Hours
- Address
- 2377 CORONADO ST, SUITE C
IDAHO FALLS, ID 83404 - Phone
- (208) 523-7246
Quick Facts
- NPI
- 1578716072
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 18
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