Individual
MR. TOD ALAN SIJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8836 N HESS ST, SUITE C, HAYDEN, ID 83835-8718
(208) 762-7760
(208) 762-7740
Mailing address
8836 N HESS ST, SUITE C, HAYDEN, ID 83835-8718
(208) 762-7760
(208) 762-7740
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1237
ID
363AM0700X
Medical Physician Assistant
PA15406
CA
Other
Enumeration date
07/07/2006
Last updated
03/03/2015
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