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Tate Coltan Staker, PA-C
Physician Assistant in Rexburg, Idaho
NPI 1184253585

Tate Coltan Staker is a Physician Assistant based in Rexburg, ID. Tate Coltan Staker practices in Rexburg, ID and has the professional credentials of PA-C. The NPI Number for Tate Coltan Staker is 1184253585 and holds a License No. (Idaho).

The current practice location address for Tate Coltan Staker is 130 W Main St, Rexburg, ID and can be reached out via phone at 208-356-8818.

Location: 130 W Main St, Rexburg, ID, 83440-1827
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184253585
Provider Name
Tate Coltan Staker
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
130 W Main St, Rexburg, ID, 83440-1827
Phone Number
208-356-8818
Fax Number
Provider Enumeration Date
04/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
130 W Main St
City
Rexburg
State
Idaho
Zip
83440-1827
Phone Number
208-356-8818
Fax Number
person
Provider Business Mailing Address Details
Address
130 W Main St
City
Rexburg
State
Idaho
Zip
83440-1827
Phone Number
208-356-8818
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA-1932 (Idaho)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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