Individual
HENRY RAINBOLT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
382 N OVERLAND AVE, BURLEY, ID 83318-3433
(208) 933-4442
Mailing address
382 N OVERLAND AVE, BURLEY, ID 83318-3433
(208) 933-4442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2721
ID
Other
Enumeration date
01/15/2020
Last updated
02/24/2025
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