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Individual

ALYSSA M WOODBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
777 HOSPITAL WAY, POCATELLO, ID 83201-5175
(208) 239-1226
(208) 239-3671
Mailing address
P.O. BOX 4168, POCATELLO, ID 83205-4168
(208) 239-1035
(208) 239-3626

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2800
ID

Other

Enumeration date
07/01/2013
Last updated
11/28/2025
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