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NICOLAS A BREGANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
725 FAIR ST, BUHL, ID 83316-6442
(208) 543-8271
(208) 543-8272
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA60141280
WA
363AM0700X
Medical Physician Assistant
Primary
PA-1008
ID

Other

Enumeration date
04/07/2010
Last updated
11/05/2024
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