person
Brady G Hamilton, PA-C
Medical Physician Assistant in Boise, Idaho
NPI 1245221258

Brady G Hamilton is a Medical Physician Assistant based in Boise, ID and is specialized in Medical. Brady G Hamilton practices in Boise, ID and has the professional credentials of PA-C. The NPI Number for Brady G Hamilton is 1245221258 and holds a License No. PA-754 (Idaho).

The current practice location address for Brady G Hamilton is 413 N Allumbaugh St, Boise, ID and can be reached out via phone at 208-323-1125 and via fax at 208-323-9604.

Location: 413 N Allumbaugh St, Boise, ID, 83704-9219
person
Provider Profile Details
NPI Number
1245221258
Provider Name
Brady G Hamilton
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
413 N Allumbaugh St, Boise, ID, 83704-9219
Phone Number
208-323-1125
Fax Number
208-323-9604
Provider Enumeration Date
10/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1891820767 05 ID
institution
Provider Business Practice Location Address Details
Address
413 N Allumbaugh St
City
State
Zip
83704-9212
Phone Number
208-323-1125
Fax Number
208-323-9604
person
Provider Business Mailing Address Details
Address
413 N Allumbaugh St
City
State
Zip
83704-9212
Phone Number
208-323-1125
Fax Number
208-323-9604
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-754 (Idaho)
Definition
Definition to come...
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