Individual
MR. CHAD DENNIS TALFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3025 W CHERRY LANE, MERIDIAN, ID 83642
(208) 302-6400
(208) 302-6455
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-6400
(208) 302-6455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1565
ID
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/12/2017
Last updated
12/14/2017
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