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Individual

COURTNEY ANNE HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
402 LAKE CASCADE PKWY, CASCADE, ID 83611-7702
(208) 382-4285
(208) 382-5081
Mailing address
PO BOX 1330, CASCADE, ID 83611-1330
(208) 382-4285
(208) 382-5081

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-715
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA-715
IDAHO PA LICENSE
ID
Enumeration date
06/11/2008
Last updated
06/13/2023
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