Individual
DAVID SCHNEIDER-AGUILERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602
Mailing address
6140 W CURTISIAN AVE STE 400, BOISE, ID 83704-8907
(208) 327-5600
(208) 327-5602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1522
ID
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100001877329
REGENCE BLUESHIELD OF IDAHO
ID
05
—
1033634936
—
ID
01
—
PADJ2
BLUE CROSS OF IDAHO
ID
Enumeration date
08/11/2017
Last updated
04/18/2023
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