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Individual

ERIC KONKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
3399 E LOUISE DR, MERIDIAN, ID 83642-5211
(208) 706-2663
(208) 489-4300
Mailing address
3340 E GOLDSTONE DR., MERIDIAN, ID 83642
(208) 302-5950
(208) 302-5955

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56475
CA
363A00000X
Physician Assistant
Primary
PA-1826
ID

Other

Enumeration date
02/06/2019
Last updated
11/14/2024
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