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Tanner Blaylock Bodily
Physician Assistant in Idaho Falls, Idaho
NPI 1356957039

Tanner Blaylock Bodily is a Physician Assistant based in Idaho Falls, ID. Tanner Blaylock Bodily practices in Idaho Falls, ID. The NPI Number for Tanner Blaylock Bodily is 1356957039 and holds a License No. (Idaho).

The current practice location address for Tanner Blaylock Bodily is 3360 Washington Pkwy Ste 1, Idaho Falls, ID and can be reached out via phone at 208-524-3416.

Location: 3360 Washington Pkwy Ste 1, Idaho Falls, ID, 83402-2906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356957039
Provider Name
Tanner Blaylock Bodily
Credential
Provider Entity Type
Individual
Gender
Male
Address
3360 Washington Pkwy Ste 1, Idaho Falls, ID, 83402-2906
Phone Number
208-524-3416
Fax Number
Provider Enumeration Date
09/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3360 Washington Pkwy Ste 1
City
Idaho Falls
State
Idaho
Zip
83404-8333
Phone Number
208-524-3416
Fax Number
person
Provider Business Mailing Address Details
Address
3360 Washington Pkwy Ste 1
City
Idaho Falls
State
Idaho
Zip
83404-8333
Phone Number
208-524-3416
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
(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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