Individual
MICHAEL J HOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7733 W EMERALD ST, BOISE, ID 83704-9020
(208) 376-3220
(208) 939-5010
Mailing address
7733 W EMERALD ST, BOISE, ID 83704-9020
(208) 376-3220
(208) 939-5010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1448
ID
363A00000X
Physician Assistant
PA08766
TX
Other
Enumeration date
05/02/2016
Last updated
06/29/2018
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