Individual
AUTUMN M FREELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3250 W CHERRY LANE, MERIDIAN, ID 83642-1026
(208) 367-5220
(208) 367-5223
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5220
(208) 367-5223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-793
ID
Other
Enumeration date
03/12/2009
Last updated
11/10/2016
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