| Dominic Xavier Romero, PA-C | |
|
318 S 6th Ave, Pocatello, ID 83201-5809 | |
| (575) 993-2495 | |
| Not Available |
| Full Name | Dominic Xavier Romero |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 318 S 6th Ave, Pocatello, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356060693 | NPI | - | NPPES |
| 0002673011 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic Xavier Romero, PA-C 318 S 6th Ave, Pocatello, ID 83201-5809 Ph: (575) 993-2495 | Dominic Xavier Romero, PA-C 318 S 6th Ave, Pocatello, ID 83201-5809 Ph: (575) 993-2495 |
Shannon Alison Webb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Mrs. Helena M. B. Rizor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1448 E Center St, Pocatello, ID 83201 Phone: 208-234-1300 Fax: 208-234-1333 | |
Ms. Kasandra Jo Kister, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726 | |
Shad Carl Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1151 Hospital Way Bldg A, Pocatello, ID 83201 Phone: 208-232-6616 Fax: 208-232-6618 | |
Mr. Michael John Doyle, PA-C(PHYS ASST) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209 Phone: 208-282-2330 Fax: 208-282-4036 | |
James Matthew Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1515 E Clark St, Pocatello, ID 83201 Phone: 208-233-2273 | |
Tanner D Mitton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Hospital Way, Ste A, Pocatello, ID 83201 Phone: 208-478-4522 Fax: 208-712-6868 |