SearchIdaho363A00000X

Amanda Ralston, PA

NPI 1336800945 · on the registry since 2022

Practice

Address
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648
Phone
(208) 828-7900
Organisation at this address
Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
363A00000X
363A00000X
Sex
Female
Record last updated
2022-01-05

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