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Landon Favero
NPI 1801363577 · on the registry since 2018 · sole proprietor
Practice
- Address
- 701 E Parkcenter Blvd
Boise, ID 83706 - Phone
- (208) 381-6500
- Organisation at this address
- St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 40
Additional practice sites
- 475 N 500 W, Vernal, UT
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Student in an Organized Health Care Education/Training Program
Physician Assistant - Licence states on file
- ID, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-22
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