person
Victor M Ishida, PA
Medical Physician Assistant in Fruitland, Idaho
NPI 1194894113

Victor M Ishida is a Medical Physician Assistant based in Fruitland, ID and is specialized in Medical. Victor M Ishida practices in Fruitland, ID and has the professional credentials of PA. The NPI Number for Victor M Ishida is 1194894113 and holds a License No. PA423 (Idaho).

The current practice location address for Victor M Ishida is 910 Nw 16Th St Ste 101, Fruitland, ID and can be reached out via phone at 208-452-8050 and via fax at 208-452-8055.

Location: 910 Nw 16Th St Ste 101, Fruitland, ID, 83619-2265
person
Provider Profile Details
NPI Number
1194894113
Provider Name
Victor M Ishida
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
910 Nw 16Th St Ste 101, Fruitland, ID, 83619-2265
Phone Number
208-452-8050
Fax Number
208-452-8055
Provider Enumeration Date
11/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805922100 05 OR
institution
Provider Business Practice Location Address Details
Address
910 Nw 16Th St Ste 101
City
State
Zip
83619-2265
Phone Number
208-452-8050
Fax Number
208-452-8055
person
Provider Business Mailing Address Details
Address
910 Nw 16Th St Ste 101
City
State
Zip
83619-2265
Phone Number
208-452-8050
Fax Number
208-452-8055
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA423 (Idaho)
Definition
Definition to come...
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