Individual
ERIC CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6165 W EMERALD ST, BOISE, ID 83704-8613
(208) 302-3500
(208) 302-3555
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0550030979
VT
363AM0700X
Medical Physician Assistant
Primary
PA-1079
ID
Other
Enumeration date
07/10/2009
Last updated
08/25/2022
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