Search › Idaho › 363A00000X
Jacob Vial, PA-C
NPI 1275253643 · on the registry since 2022 · sole proprietor
Practice
- Address
- 525 S Center St
Rexburg, ID 83460 - Phone
- (406) 595-1515
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-09-12
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