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Individual

DERRICK A ROWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
805 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-2450
(208) 587-2451
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
580
MT
363A00000X
Physician Assistant
Primary
PA-1399
ID

Other

Enumeration date
09/15/2009
Last updated
01/14/2026
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