Carly Sienna Wilson, PA | |
300 S 23rd St, Boise, ID 83702-9100 | |
(208) 344-3512 | |
Not Available |
Full Name | Carly Sienna Wilson |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 300 S 23rd St, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316677636 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363AM0700X | Physician Assistant - Medical | 1202198 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Carly Sienna Wilson, PA 300 S 23rd St, Boise, ID 83702-9100 Ph: (608) 438-3621 | Carly Sienna Wilson, PA 300 S 23rd St, Boise, ID 83702-9100 Ph: (208) 344-3512 |
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Claire Magnolo, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 301 W Myrtle St, Boise, ID 83702 Phone: 208-342-8200 Fax: 208-342-8202 | |
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Micah Ray Tobin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709 Phone: 208-302-5950 Fax: 208-302-5955 | |
Jason H. Mcbride, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-3131 | |
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