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Thomas Daniel Fife, PA-C
Medical Physician Assistant in Challis, Idaho
NPI 1689022519

Thomas Daniel Fife is a Medical Physician Assistant based in Challis, ID and is specialized in Medical. Thomas Daniel Fife practices in Challis, ID and has the professional credentials of PA-C. The NPI Number for Thomas Daniel Fife is 1689022519 and holds a License No. PA-1371 (Idaho).

The current practice location address for Thomas Daniel Fife is 611 Clinic Rd, Challis, ID and can be reached out via phone at 208-879-4351 and via fax at 208-879-5216.

Location: 611 Clinic Rd, Challis, ID, 83226
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689022519
Provider Name
Thomas Daniel Fife
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
611 Clinic Rd, Challis, ID, 83226
Phone Number
208-879-4351
Fax Number
208-879-5216
Provider Enumeration Date
06/01/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 Clinic Rd
City
Challis
State
Idaho
Zip
83226
Phone Number
208-879-4351
Fax Number
208-879-5216
person
Provider Business Mailing Address Details
Address
611 Clinic Rd
City
Challis
State
Idaho
Zip
83226
Phone Number
208-879-4351
Fax Number
208-879-5216
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-1371 (Idaho)
Definition
Definition to come...
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