Individual
CAMERON J GUTHRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10583 W LAKE HAZEL RD, BOISE, ID 83709
(208) 302-5950
(208) 302-5955
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-5950
(208) 302-5955
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1883
ID
363A00000X
Physician Assistant
PA12578
TX
Other
Enumeration date
01/30/2019
Last updated
09/09/2020
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