Individual
JEREMY SCOTT MIHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2280 E 25TH ST, IDAHO FALLS, ID 83404-7542
(208) 529-6111
Mailing address
PO BOX 742358, ATLANTA, GA 30374-2358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1786
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1166047
NCCPA
—
01
—
PA-1786
IDAHO STATE BOARD OF MEDICINE
ID
Enumeration date
10/21/2019
Last updated
01/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us