Individual
AMANDA LYNN COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2680 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 523-7667
(208) 523-7668
Mailing address
2680 CHANNING WAY, IDAHO FALLS, ID 83404-7517
(208) 523-7667
(208) 523-7668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1972
ID
Other
Enumeration date
02/23/2021
Last updated
10/29/2023
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