Individual
DON H CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
348 W BLOOMINGTON DR, MERIDIAN, ID 83642-6942
(208) 866-8277
Mailing address
348 W BLOOMINGTON DR, MERIDIAN, ID 83642-6942
(208) 866-8277
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
116257
ID
363AS0400X
Surgical Physician Assistant
Primary
116257
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M6050
STATE LICENSE
ID
Enumeration date
09/08/2009
Last updated
06/18/2015
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