Individual
SCOTT B BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 N 1ST ST, SUITE 280, BOISE, ID 83702-6100
(208) 345-6545
(208) 345-1213
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 345-6545
(208) 345-1213
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA226622
OR
363AS0400X
Surgical Physician Assistant
Primary
PA-384
ID
Other
Enumeration date
05/17/2006
Last updated
12/12/2025
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