Individual
AVERY MAGDALENA SCHICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 12TH AVE RD STE 200, NAMPA, ID 83686-6008
(208) 302-6800
(208) 302-6855
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 302-5170
(208) 302-5180
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2357
ID
Other
Enumeration date
09/05/2022
Last updated
11/29/2022
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