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Individual

ALICE ELIZABETH WINTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
100 HOSPITAL DRIVE, SUITE 100, KETCHUM, ID 83340
(208) 726-5027
(208) 726-8948
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA-2731
ID
363AS0400X
Surgical Physician Assistant

Other

Enumeration date
07/27/2021
Last updated
03/29/2024
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