Individual
NICHOLAS CARY NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 384-9022
Mailing address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3013
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
11/09/2021
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