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Individual

AMBER BOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
4424 E FLAMINGO AVE STE 300, NAMPA, ID 83687-9306
(208) 302-0000
Mailing address
PO BOX 190930, BOISE, ID 83719-0930
(208) 302-9342
(208) 367-5180

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1169
ID
363A00000X
Physician Assistant
PA209074
OR
363A00000X
Physician Assistant
TL559
WY

Other

Enumeration date
02/06/2013
Last updated
12/21/2025
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