SearchIdaho363A00000X

Caleb Sires, PA-C

NPI 1811361124 · on the registry since 2015

Practice

Address
10583 W Lake Hazel Rd
Boise, ID 83709
Phone
(208) 302-5950
Fax
(208) 302-5955
Clinicians at this address
25

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
2019-04-25

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