Search › Idaho › 363AM0700X
Logan Hawker, PA
NPI 1457133977 · on the registry since 2023
Practice
- Address
- 1906 S Vista Ave
Boise, ID 83705 - Phone
- (503) 554-2521
- Organisation at this address
- Idaho Skin Surgery Center, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 811 Nw 12th St, Fruitland, ID
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 390200000X
- Sex
- Female
- Record last updated
- 2025-02-26
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