Individual
MR. ANDREW J SCHUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
PA10004517
WA
363A00000X
Physician Assistant
Primary
PA446
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018848
—
WA
01
—
1780679068
REGENCE BLUE SHIELD
IN
05
—
1780679068
—
ID
01
—
P00749511
RR MEDICARE
WA
01
—
P00815198
RR MEDICARE
ID
01
—
PAWB1
BCI
ID
Enumeration date
09/13/2005
Last updated
07/19/2024
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