Individual
MADISON CATALANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3399 E LOUISE DR, MERIDIAN, ID 83642-5211
(208) 706-4650
(208) 706-4651
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7361271
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2023
Last updated
11/07/2024
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