Individual
HEATHER MARIE FRAZEE WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 N 2ND ST, SUITE 204, BOISE, ID 83702-6109
(208) 429-9100
(208) 429-9118
Mailing address
222 N 2ND ST, SUITE 204, BOISE, ID 83702-6109
(208) 429-9100
(208) 429-9118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-890
ID
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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