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Jeremy Willes, PAC
NPI 1356314843 · on the registry since 2006
Practice
- Address
- 260 Falls Ave
Suite C
Twin Falls, ID 83301 - Phone
- (208) 736-7422
- Fax
- (208) 736-8905
- Organisation at this address
- Gn Hearing Care Corp
Renew Recovery Center Inc
Southern Idaho Radiology Pa
Remind Behavioral Health Corp
Falls Avenue Immediate Care PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Medical Physician Assistant
- Licence states on file
- ID, NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-05-08
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