person
Mr. Jonathan Grant Casto, PA-C
Medical Physician Assistant in Mountain Home, Idaho
NPI 1952738577

Jonathan Grant Casto is a Medical Physician Assistant based in Mountain Home, ID and is specialized in Medical. Jonathan Grant Casto practices in Mountain Home, ID and has the professional credentials of PA-C. The NPI Number for Jonathan Grant Casto is 1952738577 and holds a License No. 01742 (Idaho).

The current practice location address for Jonathan Grant Casto is 120 Desert Sage Way, Mountain Home, ID and can be reached out via phone at 208-587-3988 and via fax at 208-587-3324.

Location: 120 Desert Sage Way, Mountain Home, ID, 83647-1038
person
Provider Profile Details
NPI Number
1952738577
Provider Name
Jonathan Grant Casto
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
120 Desert Sage Way, Mountain Home, ID, 83647-1038
Phone Number
208-587-3988
Fax Number
208-587-3324
Provider Enumeration Date
09/27/2013
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
120 Desert Sage Way
City
State
Zip
83647-1038
Phone Number
208-587-3988
Fax Number
208-587-3324
person
Provider Business Mailing Address Details
Address
120 Desert Sage Way
City
State
Zip
83647-1038
Phone Number
208-587-3988
Fax Number
208-587-3324
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
01742 (West Virginia)
Definition
Definition to come...
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