Individual
JOEL J BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1375 N HAPPY VALLEY RD, NAMPA, ID 83687-5280
(208) 809-2869
Mailing address
PO BOX 191050, BOISE, ID 83719-1050
(208) 955-6500
(208) 955-6503
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1066
ID
Other
Enumeration date
05/06/2013
Last updated
07/30/2020
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