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Individual

ELIZABETH MCDOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
190 E BANNOCK ST, STE 104, BOISE, ID 83712-6241
(208) 381-5500
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-5500

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005328
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8502999
WA
Enumeration date
01/03/2007
Last updated
09/22/2015
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