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Individual

BARBARA ROSE ARNZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348
Mailing address
2315 8TH ST, LEWISTON, ID 83501-7301
(208) 746-1383
(208) 746-6348

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-829
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0256410
L & I
WA
01
030434610
PREMERA
WA
05
1034133
WA
01
1780653097
REGENCE BLUESHIELD
ID
05
1780653097
ID
01
P00884068
RR MEDICARE
ID
01
PAP04
BC/ID
ID
Enumeration date
03/17/2006
Last updated
03/08/2016
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