Ronnie Isaacson, PHYSICIAN ASSISTANT

NPI 1275007965 · on the registry since 2019 · sole proprietor

Practice

Address: 4615 W Emerald St
Boise, ID 83706
Phone: (208) 917-1842
Clinicians at this address: 2

Additional practice sites

331 Se 2nd St, Pendleton, OR
595 Nw 11th St, Hermiston, OR
702 Sunset Dr, Ontario, OR
1044 Northwest Blvd Ste C, Coeur D Alene, ID
1019 W Sanetta St, Nampa, ID
2609 S 10th Ave, Caldwell, ID

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Also registered as: 363A00000X
Licence states on file: OR, ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-03-31

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