Individual
JASON H. MCBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-3131
Mailing address
1616 W MALAD ST, BOISE, ID 83705-4423
(208) 206-1938
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2057
ID
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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