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Gordon Bradley Greaves, PA
Physician Assistant in Wilder, Idaho
NPI 1699708131

Gordon Bradley Greaves is a Physician Assistant based in Wilder, ID. Gordon Bradley Greaves practices in Wilder, ID and has the professional credentials of PA. The NPI Number for Gordon Bradley Greaves is 1699708131 and holds a License No. 16369 (Idaho).

The current practice location address for Gordon Bradley Greaves is 15821 Allendale Rd, Wilder, ID and can be reached out via phone at 801-664-1757.

Location: 15821 Allendale Rd, Wilder, ID, 83676-5864
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699708131
Provider Name
Gordon Bradley Greaves
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
15821 Allendale Rd, Wilder, ID, 83676-5864
Phone Number
801-664-1757
Fax Number
Provider Enumeration Date
07/08/2006
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
807537400 05 ID
PA615 01 ID IDAHO BOARD OF MEDICINE
16369 01 CA PA LICENSE
institution
Provider Business Practice Location Address Details
Address
15821 Allendale Rd
City
Wilder
State
Idaho
Zip
83676-5864
Phone Number
801-664-1757
Fax Number
person
Provider Business Mailing Address Details
Address
15821 Allendale Rd
City
Wilder
State
Idaho
Zip
83676-5864
Phone Number
801-664-1757
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA615 (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
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
16369 (California)
Definition
Definition to come...
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