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CAMILLE BUCHMILLER BUCHMILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
9850 W ST LUKES DR STE 280, NAMPA, ID 83687-7912
(208) 323-3767
(208) 323-3768
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-951
ID
363A00000X
Physician Assistant
PA195229
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194092890
ID
Enumeration date
11/23/2011
Last updated
05/14/2024
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