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JOHN ANTHONY MEBANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
500 W FORT ST, # 111, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
966 PIERCE CT, BOISE, ID 83712-7447
(208) 422-1325

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-576
ID

Other

Enumeration date
10/10/2006
Last updated
03/28/2022
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