Individual
ALEXX SLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
775 POLE LINE RD W STE 112, TWIN FALLS, ID 83301-5819
(208) 814-8200
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
3472
TN
363AS0400X
Surgical Physician Assistant
Primary
PA-1640
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q033058
—
TN
Enumeration date
11/27/2017
Last updated
08/01/2023
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