Search › Idaho › 363A00000X
Samuel Uebelacker, PA-C
NPI 1316587751 · on the registry since 2020
Practice
- Address
- 2855 E Magic View Dr
Meridian, ID 83642 - Phone
- (208) 639-4900
- Organisation at this address
- Surgery Center Of Idaho Llc
Idaho Urologic Institute PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
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
- 2020-02-27
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