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Jude Boutkaska, PA

NPI 1801948591 · on the registry since 2007

Practice

Address: 413 Allumbaugh St
Suite 101
Boise, ID 83704
Phone: (208) 362-6162
Fax: (208) 362-9604
Organisation at this address: Hagen, Inc.
Eric Gilbreath Md Pa
Summit Counseling Pllc
Nicole Thurston, M.D., Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 13

Registry record

Primary taxonomy: Medical Physician Assistant
363AM0700X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-04-16

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