| Charles Edward Brioschi Jr, PA | |
|
910 Nw 16th Street, Ste 205, Fruitland, ID 83619-2265 | |
| (208) 452-3111 | |
| (208) 452-3666 |
| Full Name | Charles Edward Brioschi Jr |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 910 Nw 16th Street, Fruitland, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083086870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA-1317 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Edward Brioschi Jr, PA 3340 E Goldstone Way, Meridian, ID 83642-1026 Ph: (208) 452-3111 | Charles Edward Brioschi Jr, PA 910 Nw 16th Street, Ste 205, Fruitland, ID 83619-2265 Ph: (208) 452-3111 |
Tea Hasanovic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-5999 | |
George J Roth, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 Fax: 208-452-8601 | |
Jaclyn R Hope, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1210 Nw 16th St, Fruitland, ID 83619 Phone: 208-452-8600 | |
Thad W Wilkey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2101 N Whitley Dr, Fruitland, ID 83619 Phone: 208-452-5999 Fax: 208-452-4499 | |
Mrs. Crysta Kimes, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8000 | |
Victor M Ishida, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 910 Nw 16th St Ste 101, Fruitland, ID 83619 Phone: 208-452-8050 Fax: 208-452-8055 |