Individual
CODY E TARBOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
215 E HAWAII AVE STE 140, NAMPA, ID 83686-6011
(208) 514-2529
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2671495
ID
Other
Enumeration date
04/30/2026
Last updated
04/30/2026
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