Individual
JED TERRELL BARTSCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 227-2600
Mailing address
PO BOX 2671, IDAHO FALLS, ID 83403-2671
(208) 542-5000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-547
ID
Other
Enumeration date
11/03/2006
Last updated
07/16/2007
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