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Mr. Paul Bieniasz, PA-C
Medical Physician Assistant in Pocatello, Idaho
NPI 1518934181

Paul Bieniasz is a Medical Physician Assistant based in Pocatello, ID and is specialized in Medical. Paul Bieniasz practices in Pocatello, ID and has the professional credentials of PA-C. The NPI Number for Paul Bieniasz is 1518934181 and holds a License No. PA 889 (Idaho).

The current practice location address for Paul Bieniasz is 1000 N 8Th Ave, Pocatello, ID and can be reached out via phone at 208-232-6260.

Location: 1000 N 8Th Ave, Pocatello, ID, 83201-4880
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Provider Profile Details
NPI Number
1518934181
Provider Name
Paul Bieniasz
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1000 N 8Th Ave, Pocatello, ID, 83201-4880
Phone Number
208-232-6260
Fax Number
Provider Enumeration Date
03/02/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518934181 05 ID
institution
Provider Business Practice Location Address Details
Address
1000 N 8Th Ave
City
State
Zip
83201-5757
Phone Number
208-232-6260
Fax Number
person
Provider Business Mailing Address Details
Address
1000 N 8Th Ave
City
State
Zip
83201-5757
Phone Number
208-232-6260
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 889 (Idaho)
Definition
Definition to come...
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