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Individual

ANDY CHORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 321-4000
(208) 855-0157
Mailing address
7979 W RIFLEMAN ST, BOISE, ID 83704-9066
(208) 321-4000
(208) 855-0157

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1286
ID

Other

Enumeration date
10/20/2011
Last updated
09/21/2015
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