SearchIdaho363A00000X

Anthony Bushnell, PA-C

NPI 1417376229 · on the registry since 2014 · sole proprietor

Practice

Address
315 East Elm
Ste 100
Caldwell, ID 83605
Phone
(208) 459-7415
Fax
(208) 453-3307
Clinicians at this address
5

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
2015-12-02

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