Individual
JONATHAN SUBAITANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
(703) 928-7266
Mailing address
219 S WOODDALE AVE, EAGLE, ID 83616-7714
(703) 928-7266
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
0110005599
VA
363A00000X
Physician Assistant
Primary
PA-1596
ID
363A00000X
Physician Assistant
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—
Other
Enumeration date
03/21/2017
Last updated
05/07/2026
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