Individual
MR. SEAN W PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
600 N ROBBINS RD STE 100, BOISE, ID 83702-4564
(208) 706-2663
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 706-2663
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-826
ID
Other
Enumeration date
11/09/2009
Last updated
01/24/2023
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