Individual
RITA LYNN WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
265 W. PRAIRIE SHOPPING CENTER, HAYDEN, ID 83835
(208) 772-7850
(208) 772-2313
Mailing address
265 W. PRAIRIE SHOPPING CENTER, HAYDEN, ID 83835
(208) 772-7850
(208) 772-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10004688
WA
363AM0700X
Medical Physician Assistant
Primary
PAG-019
ID
Other
Enumeration date
01/20/2006
Last updated
03/09/2010
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