Individual
MRS. SAMANTHA CHRISTINE VERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
260 S TEN MILE RD, MERIDIAN, ID 83642-6100
(208) 809-2872
Mailing address
3109 S MERIDIAN RD, MERIDIAN, ID 83642-7088
(208) 888-0660
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
ID
Other
Enumeration date
05/14/2019
Last updated
08/25/2021
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