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KYLE HAVERCROFT, PA-C
PA-C
Surgical Physician Assistant
NPI: 1700063344IndividualAccepts Medicare
Specialties, Licenses & Credentials
Medical Physician Assistant
Physician Assistant — Medical
Code: 363AM0700X
PA-1313(ID)
Physician Assistant
Physician Assistant
Code: 363A00000X
PA-1313(ID)
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
PA-1313(ID)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 1107 W IRONWOOD DR
COEUR D ALENE, ID 83814 - Phone
- (208) 667-7459
Quick Facts
- NPI
- 1700063344
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 11
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