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Search › Idaho › Medical Physician Assistant

Derek Wynn, PA

NPI 1043689441 · on the registry since 2015 · sole proprietor

Practice

Address
607 W Main Street
Grangeville, ID 83530
Phone
(208) 983-1700
Fax
(208) 983-4665
Organisation at this address
Cardinal Health 132, Llc
Syringa General Hospital
Syringa Hospital Ddp Program
Syringa Hospital Childrens Ddp
Syringa General Hospital District Cif
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho