Individual
HEATHER N FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319
Mailing address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1000
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1150
ID
363AM0700X
Medical Physician Assistant
—
ID
Other
Enumeration date
12/30/2013
Last updated
07/19/2022
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