| Mr Tracy D Mickelsen, CSFA | |
|
3015 E Magic View Dr, Meridian, ID 83642-3743 | |
| (208) 855-2410 | |
| (208) 482-5515 |
| Full Name | Mr Tracy D Mickelsen |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Surgical |
| Location | 3015 E Magic View Dr, Meridian, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801073655 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 178692 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Tracy D Mickelsen, CSFA 3015 E Magic View Dr, Meridian, ID 83642-3743 Ph: (208) 855-2410 | Mr Tracy D Mickelsen, CSFA 3015 E Magic View Dr, Meridian, ID 83642-3743 Ph: (208) 855-2410 |
Eric Christopher Moss, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 875 S Vanguard Way Ste 200, Meridian, ID 83642 Phone: 208-463-3219 Fax: 208-463-3055 | |
Mr. Benjamin Watson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 1234, Meridian, ID 83642 Phone: 661-332-9138 | |
Sis E Ostolasa, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3025 W Cherry Lane, Ste B, Meridian, ID 83642 Phone: 208-302-6450 Fax: 208-302-6455 | |
Mr. Alexander J Arhets, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1618 S Millenium Way Ste 100, Meridian, ID 83642 Phone: 208-884-3376 Fax: 208-884-0858 | |
Kayla Faye Cornell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3655 E Tahiti Dr, Meridian, ID 83646 Phone: 208-631-4385 | |
Sari Bianca Lavarias, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 360 E Montvue Dr, Meridian, ID 83642 Phone: 208-855-2900 Fax: 208-898-9877 | |
Chelsea Miller, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4664 N Penngrove Way Ste 100, Meridian, ID 83646 Phone: 208-452-5999 |