SearchIdahoSurgical Assistant

Miranda Van Dam, CSFA

NPI 1902565682 · on the registry since 2021

Practice

Address
500 S. Eagle Rd.
Meridian, ID 83642
Phone
(208) 706-8101

Registry record

Primary taxonomy
Surgical Assistant
246ZC0007X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-10

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