SearchIdahoPhysician Assistant

Raul Godina, PA-C

NPI 1336499730 · on the registry since 2012

Practice

Address
512 N 21st Ave
Caldwell, ID 83605
Phone
(208) 809-2875
Fax
(208) 809-2876
Organisation at this address
Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Also registered as
Medical Physician Assistant
Licence states on file
AZ, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-30

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