Individual
MIKAL BECH BURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
750 N SYRINGA ST STE 205, POST FALLS, ID 83854-5275
(208) 262-0945
(208) 415-0150
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2498
(208) 262-7461
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1368
ID
363AM0700X
Medical Physician Assistant
PA-1368
ID
363AS0400X
Surgical Physician Assistant
PA-1368
ID
Other
Enumeration date
02/02/2012
Last updated
01/21/2026
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