SearchIdaho363A00000X

Jacob Myler, PA-C

NPI 1689263865 · on the registry since 2021 · sole proprietor

Practice

Address
3345 Potomac Way
Idaho Falls, ID 83404
Phone
(208) 522-7572
Organisation at this address
Mcdonald Rehab, Pc
Idaho Neurosurgery & Spine Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Additional practice sites

  • 1050 Mydland Rd, Sheridan, WY

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
2024-10-17

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