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Dr. Gordon Scott Bontrager, MD
Physician Assistant in Preston, Idaho
NPI 1780919829

Gordon Scott Bontrager is a Physician Assistant based in Preston, ID. Gordon Scott Bontrager practices in Preston, ID and has the professional credentials of MD. The NPI Number for Gordon Scott Bontrager is 1780919829 and holds a License No. MRM-1734 (Idaho).

The current practice location address for Gordon Scott Bontrager is 43 N 1St E, Preston, ID and can be reached out via phone at 208-648-4771 and via fax at 208-744-0140.

Location: 43 N 1St E, Preston, ID, 83263-1325
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780919829
Provider Name
Gordon Scott Bontrager
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
43 N 1St E, Preston, ID, 83263-1325
Phone Number
208-648-4771
Fax Number
208-744-0140
Provider Enumeration Date
10/07/2009
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01478459 01 TN RAIDROAD MEDICARE
15285357 05 TN
MRM-1734 01 ID IDAHO BOARD OF MEDICINE - RESIDENCY
1780919829 05 VA
PA-2119 01 ID IDAHO BOARD OF MEDICINE - PA
institution
Provider Business Practice Location Address Details
Address
43 N 1St E
City
Preston
State
Idaho
Zip
83263-1325
Phone Number
208-648-4771
Fax Number
208-744-0140
person
Provider Business Mailing Address Details
Address
43 N 1St E
City
Preston
State
Idaho
Zip
83263-1325
Phone Number
208-648-4771
Fax Number
208-744-0140
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
2119 (Tennessee)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
MRM-1734 (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.
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