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Charles Frost, PA-C
Medical Physician Assistant in Nampa, Idaho
NPI 1760425730

Charles Frost is a Medical Physician Assistant based in Meridian, ID and is specialized in Medical. Charles Frost practices in Nampa, ID and has the professional credentials of PA-C. The NPI Number for Charles Frost is 1760425730 and holds a License No. PA194 (Idaho).

The current practice location address for Charles Frost is 4400 E Flamingo Ave, Nampa, ID and can be reached out via phone at 208-302-7640 and via fax at 208-302-7625.

Location: 4400 E Flamingo Ave, Nampa, ID, 83642-1026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760425730
Provider Name
Charles Frost
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4400 E Flamingo Ave, Nampa, ID, 83642-1026
Phone Number
208-302-7640
Fax Number
208-302-7625
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
804051800 05 ID
institution
Provider Business Practice Location Address Details
Address
4400 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-3402
Phone Number
208-302-7640
Fax Number
208-302-7625
person
Provider Business Mailing Address Details
Address
4400 E Flamingo Ave
City
Nampa
State
Idaho
Zip
83687-3402
Phone Number
208-302-7640
Fax Number
208-302-7625
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA194 (Idaho)
Definition
Definition to come...
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