Search › Idaho › Physician Assistant
Tate Staker, PA-C
NPI 1184253585 · on the registry since 2020 · sole proprietor
Practice
- Address
- 130 W Main St
Rexburg, ID 83440 - Phone
- (208) 356-8818
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-28
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