Individual
MR. SETH ALAN PERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
318 2ND ST S, NAMPA, ID 83651-3765
(208) 467-3006
(208) 467-1155
Mailing address
318 2ND ST S, NAMPA, ID 83651-3765
(208) 467-3006
(208) 467-1155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-567
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1667206
MEDICARE
—
05
—
807287300
—
ID
Enumeration date
10/19/2005
Last updated
07/13/2010
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