Individual
MS. EMILY G KARASSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 AVIATION DR, SUITE 100, HAILEY, ID 83333-8785
(208) 788-3434
(208) 788-2025
Mailing address
PO BOX 587, TWIN FALLS, ID 83303-0587
(208) 814-7400
(208) 814-7491
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-237
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
805337100
—
ID
01
—
P00721159
MCRR
ID
Enumeration date
05/16/2006
Last updated
09/04/2012
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