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Individual

MRS. ALAINA A MCCOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS PA-C

Contact information

Practice address
100 E. IDAHO ST., SUITE 400, BOISE, ID 83712
(208) 345-5250
Mailing address
100 E. IDAHO ST., SUITE 400, BOISE, ID 83712
(208) 345-5250

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-1340
ID
363AS0400X
Surgical Physician Assistant
3053-23
WI

Other

Enumeration date
11/06/2012
Last updated
03/23/2016
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