Individual
DYLAN JAMES BYBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8854 W EMERALD ST. SUITE 150, BOISE, ID 83704-4737
(208) 229-2368
Mailing address
8854 W EMERALD ST STE 150, BOISE, ID 83704-4844
(208) 229-2368
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
03/07/2022
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