Individual
SAMANTHA PATERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4424 E FLAMINGO AVE STE 110, NAMPA, ID 83687-9291
(208) 302-3000
(208) 302-3255
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 367-5170
(208) 368-7518
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1445
ID
363A00000X
Physician Assistant
PA180184
OR
Other
Enumeration date
11/09/2016
Last updated
10/31/2023
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