Individual
RACHEL N. LEVITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
300 W MYRTLE ST, SUITE 100, BOISE, ID 83702-7690
(208) 472-9082
(208) 472-9083
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-822
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA-822
MEDICAL LICENSE
ID
Enumeration date
10/15/2009
Last updated
11/28/2012
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