Individual
PAUL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
223 16TH AVE N, NAMPA, ID 83687-4058
(208) 467-7654
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2223
ID
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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