Individual
WILLIAM JOSEPH SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1019 W SANETTA ST, NAMPA, ID 83651-5047
(208) 917-1842
(208) 549-7017
Mailing address
1775 W STATE ST # 383, BOISE, ID 83702-3924
(208) 912-4416
(208) 549-5832
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1027
ID
363A00000X
Physician Assistant
PA160595
OR
Other
Enumeration date
11/16/2012
Last updated
09/28/2023
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