Individual
NATHAN HARDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10583 W LAKE HAZEL RD, BOISE, ID 83709-6326
(208) 302-5950
Mailing address
6051 W EMERALD ST, BOISE, ID 83704-8969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA60926271
WA
Other
Enumeration date
12/07/2018
Last updated
03/16/2023
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