Individual
CASEY BINGHAM WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5015
(208) 381-1873
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2628
ID
363AM0700X
Medical Physician Assistant
Primary
PA-2628
ID
Other
Enumeration date
06/29/2023
Last updated
12/10/2025
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