person
Charles Edward Brioschi JR., PA
Medical Physician Assistant in Fruitland, Idaho
NPI 1083086870

Charles Edward Brioschi JR. is a Medical Physician Assistant based in Meridian, ID and is specialized in Medical. Charles Edward Brioschi JR. practices in Fruitland, ID and has the professional credentials of PA. The NPI Number for Charles Edward Brioschi JR. is 1083086870 and holds a License No. PA-1317 (Idaho).

The current practice location address for Charles Edward Brioschi JR. is 910 Nw 16Th Street, Fruitland, ID and can be reached out via phone at 208-452-3111 and via fax at 208-452-3666. You can also correspond with Charles Edward Brioschi JR. through the mailing address at 3340 E GOLDSTONE WAY, MERIDIAN, ID - 83642-1026 (mailing address contact number: 208-452-3111).

Location: 910 Nw 16Th Street, Fruitland, ID, 83642-1026
person
Provider Profile Details
NPI Number
1083086870
Provider Name
Charles Edward Brioschi JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
910 Nw 16Th Street, Fruitland, ID, 83642-1026
Phone Number
208-452-3111
Fax Number
208-452-3666
Provider Enumeration Date
10/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
910 Nw 16Th Street
City
State
Zip
83619-2265
Phone Number
208-452-3111
Fax Number
208-452-3666
person
Provider Business Mailing Address Details
Address
910 Nw 16Th Street
City
State
Zip
83619-2265
Phone Number
208-452-3111
Fax Number
208-452-3666
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-1317 (Idaho)
Definition
Definition to come...
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