SearchIdaho363A00000X

Amanda Burks

NPI 1699305185 · on the registry since 2020

Practice

Address
803 S Main St Ste 120
Moscow, ID 83843
Phone
(208) 848-8300
Organisation at this address
Community Health Assoc
Gritman Medical Center Inc
Gritman Medical Center Inc
Latah Community Health Pharmacy
Palouse Specialty Physicians, P.S.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-10

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