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Mrs. Alicia R Borst, PAC
Surgical Physician Assistant in Boise, Idaho
NPI 1780641530

Alicia R Borst is a Surgical Physician Assistant based in Boise, ID and is specialized in Surgical. Alicia R Borst practices in Boise, ID and has the professional credentials of PAC. The NPI Number for Alicia R Borst is 1780641530 and holds a License No. 787 (Idaho).

The current practice location address for Alicia R Borst is 3960 W. Wainwright, Boise, ID and can be reached out via phone at 208-384-9023 and via fax at 208-388-1683.

Location: 3960 W. Wainwright, Boise, ID, 83713
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Provider Profile Details
NPI Number
1780641530
Provider Name
Alicia R Borst
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
3960 W. Wainwright, Boise, ID, 83713
Phone Number
208-384-9023
Fax Number
208-388-1683
Provider Enumeration Date
04/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0078PA 05 SC
institution
Provider Business Practice Location Address Details
Address
3960 W. Wainwright
City
State
Zip
83713
Phone Number
208-384-9023
Fax Number
208-388-1683
person
Provider Business Mailing Address Details
Address
3960 W. Wainwright
City
State
Zip
83713
Phone Number
208-384-9023
Fax Number
208-388-1683
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
787 (South Carolina)
Definition
Definition to come...
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