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MS. PATRICIA ANN VIETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1641 E POLSTON AVE STE 101, POST FALLS, ID 83854-7852
(208) 457-4208
(208) 457-4197
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2390

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-725
ID
363A00000X
Physician Assistant
PA60944866
WA
363A00000X
Physician Assistant
PA725
ID
363AM0700X
Medical Physician Assistant
PA-725
ID
363AM0700X
Medical Physician Assistant
PA60944866
WA
363AS0400X
Surgical Physician Assistant
PA-725
ID
363AS0400X
Surgical Physician Assistant
PA60944866
WA

Other

Enumeration date
12/27/2007
Last updated
01/29/2021
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