Organization
M&A MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L MCKINLAY PA (PA / OWNER)
(208) 237-3749
Entity
Organization
Contact information
Practice address
1155 YELLOWSTONE AVE STE F, POCATELLO, ID 83201-4369
(208) 237-3749
Mailing address
1155 YELLOWSTONE AVE STE F, POCATELLO, ID 83201-4369
(208) 237-3749
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
01/18/2021
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