Individual
MITCHELL ANDREW BLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6165 W EMERALD ST, BOISE, ID 83704-8613
(208) 302-3900
(208) 302-3955
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2134
ID
Other
Enumeration date
10/07/2021
Last updated
01/12/2026
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