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Individual

ASHLEY BRYN CAFFERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
999 N CURTIS RD STE 505, BOISE, ID 83706-1335
(208) 327-9521
(208) 327-9524
Mailing address
5107 FRUITHILL PL, BOISE, ID 83709-5108
(208) 562-0585

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-631
ID

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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