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Search › Idaho › 363AM0700X

Nathan Church, PA-C

NPI 1386635977 · on the registry since 2005

Practice

Address
6052 W State St
Boise, ID 83703
Phone
(208) 344-7799
Fax
(208) 344-7152
Organisation at this address
Alliance Medical Group, Llc
Alliance Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
363A00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-01

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