person
Derek Eddie, PA-C
Medical Physician Assistant in Pocatello, Idaho
NPI 1346375367

Derek Eddie is a Medical Physician Assistant based in Pocatello, ID and is specialized in Medical. Derek Eddie practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for Derek Eddie is 1346375367 and holds a License No. PA-662 (Idaho).

The current practice location address for Derek Eddie is 560 Memorial Dr, Pocatello, ID and can be reached out via phone at 208-234-1960 and via fax at 208-233-5033.

Location: 560 Memorial Dr, Pocatello, ID, 83201-4073
person
Provider Profile Details
NPI Number
1346375367
Provider Name
Derek Eddie
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
560 Memorial Dr, Pocatello, ID, 83201-4073
Phone Number
208-234-1960
Fax Number
208-233-5033
Provider Enumeration Date
02/22/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
560 Memorial Dr
City
State
Zip
83201-4073
Phone Number
208-234-1960
Fax Number
208-233-5033
person
Provider Business Mailing Address Details
Address
560 Memorial Dr
City
State
Zip
83201-4073
Phone Number
208-234-1960
Fax Number
208-233-5033
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-662 (Idaho)
Definition
Definition to come...
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