Individual
BRETT W ZUNDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
39 N 8TH W, SAINT ANTHONY, ID 83445-1337
(208) 419-6423
(208) 379-3520
Mailing address
39 N 8TH W, SAINT ANTHONY, ID 83445-1337
(208) 419-6423
(208) 379-3520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA197
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010006458
BLUE SHIELD
ID
01
—
0007309726
AETNA
ID
05
—
805130800
—
ID
01
—
PAYL7
BLUE CROSS
ID
Enumeration date
02/14/2007
Last updated
02/10/2026
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