Individual
MS. AMY MERCANTINI KLINGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1 NIECE AVENUE, STANLEY, ID 83278-0129
(208) 774-3565
(208) 774-3424
Mailing address
PO BOX 129, STANLEY, ID 83278-0129
(208) 774-3565
(208) 774-3424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-492
ID
Other
Enumeration date
04/27/2006
Last updated
08/10/2007
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