Jared Mudge, PA-C | |
Po Box 388, Plummer, ID 83851-0388 | |
(208) 686-5133 | |
Not Available |
Full Name | Jared Mudge |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | Po Box 388, Plummer, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679398929 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 5761672 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jared Mudge, PA-C 200 S Idaho St, Post Falls, ID 83854-7552 Ph: (208) 686-5133 | Jared Mudge, PA-C Po Box 388, Plummer, ID 83851-0388 Ph: (208) 686-5133 |
Katelyn Hammrich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 | |
Joy Katherine Goodwin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 |