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Kody Kurtis Tew, PA-C
Medical Physician Assistant in Idaho Falls, Idaho
NPI 1760724744

Kody Kurtis Tew is a Medical Physician Assistant based in Idaho Falls, ID and is specialized in Medical. Kody Kurtis Tew practices in Idaho Falls, ID and has the professional credentials of PA-C. The NPI Number for Kody Kurtis Tew is 1760724744 and holds a License No. PA-1057 (Idaho).

The current practice location address for Kody Kurtis Tew is 2088 E 25Th St, Idaho Falls, ID and can be reached out via phone at 208-528-7655 and via fax at 208-524-9390.

Location: 2088 E 25Th St, Idaho Falls, ID, 83404-6490
person
Provider Profile Details
NPI Number
1760724744
Provider Name
Kody Kurtis Tew
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2088 E 25Th St, Idaho Falls, ID, 83404-6490
Phone Number
208-528-7655
Fax Number
208-524-9390
Provider Enumeration Date
03/18/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2088 E 25Th St
City
State
Zip
83404-6490
Phone Number
208-528-7655
Fax Number
208-524-9390
person
Provider Business Mailing Address Details
Address
2088 E 25Th St
City
State
Zip
83404-6490
Phone Number
208-528-7655
Fax Number
208-524-9390
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA-1057 (Idaho)
Definition
Definition to come...
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