Individual
JARED FIELDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 298-3094
(833) 941-3874
Mailing address
931 CYPRESS ST, LEWISTON, ID 83501-4775
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
08/29/2024
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