Ariel Shantay Avis Taysom, PA-C | |
220 Bannock St, Malad City, ID 83252-5068 | |
(208) 766-2600 | |
(208) 766-4258 |
Full Name | Ariel Shantay Avis Taysom |
---|---|
Gender | Female |
Speciality | |
Experience | Years |
Location | 220 Bannock St, Malad City, Idaho |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609341098 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA-1656 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ariel Shantay Avis Taysom, PA-C 220 Bannock St, Malad City, ID 83252-5068 Ph: (208) 766-2600 | Ariel Shantay Avis Taysom, PA-C 220 Bannock St, Malad City, ID 83252-5068 Ph: (208) 766-2600 |
Rick C. Clark Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 220 Bannock St, Suite 306, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Mel Bingham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Malad City, ID 83252 Phone: 208-766-2600 Fax: 208-766-4258 | |
Robert Todd Gillespie, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 220 Bannock St, Suite B, Malad City, ID 83252 Phone: 208-766-2600 |