Individual
AUSTIN TROY VANORDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
805 MAIN ST, SALMON, ID 83467-4316
(208) 756-6212
Mailing address
3400 MERLIN DR, IDAHO FALLS, ID 83404-7430
(208) 522-0886
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2508
ID
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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