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Zachery M Brunson, PA-C
Medical Physician Assistant in Rexburg, Idaho
NPI 1447296785

Zachery M Brunson is a Medical Physician Assistant based in Rexburg, ID and is specialized in Medical. Zachery M Brunson practices in Rexburg, ID and has the professional credentials of PA-C. The NPI Number for Zachery M Brunson is 1447296785 and holds a License No. PA-607 (Idaho).

The current practice location address for Zachery M Brunson is 393 E 2Nd N, Rexburg, ID and can be reached out via phone at 208-356-5401 and via fax at 208-356-3111.

Location: 393 E 2Nd N, Rexburg, ID, 83440-1605
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Provider Profile Details
NPI Number
1447296785
Provider Name
Zachery M Brunson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
393 E 2Nd N, Rexburg, ID, 83440-1605
Phone Number
208-356-5401
Fax Number
208-356-3111
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807432900 05 ID
institution
Provider Business Practice Location Address Details
Address
393 E 2Nd N
City
State
Zip
83440
Phone Number
208-356-5401
Fax Number
208-356-3111
person
Provider Business Mailing Address Details
Address
393 E 2Nd N
City
State
Zip
83440
Phone Number
208-356-5401
Fax Number
208-356-3111
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-607 (Idaho)
Definition
Definition to come...
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