Individual
JAKEB K SEARLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
315 E ELM STREET, STE 100, CALDWELL, ID 83605
(208) 302-7100
(208) 302-7155
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 302-7100
(208) 302-7155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1153
ID
363AS0400X
Surgical Physician Assistant
PA60306120
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA60306120
WA LICENSE
WA
Enumeration date
07/24/2012
Last updated
03/07/2023
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