Individual
MR. DAVID KALANI MENCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3015 E MAGIC VIEW DR STE 115, MERIDIAN, ID 83642-3743
(208) 321-4000
Mailing address
7529 W MIDDLE FORK ST, BOISE, ID 83709-6090
(808) 754-2010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2052
ID
Other
Enumeration date
08/07/2017
Last updated
12/22/2022
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