Mrs Jennice M Cordova, PA-C | |
201 S 1st Ave E, Middleton, ID 83644-5809 | |
(208) 585-6311 | |
(208) 585-6221 |
Full Name | Mrs Jennice M Cordova |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 201 S 1st Ave E, Middleton, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609856079 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | PA-281 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennice M Cordova, PA-C 2165 Aspen Cove Dr, Meridian, ID 83642-6517 Ph: (208) 288-2548 | Mrs Jennice M Cordova, PA-C 201 S 1st Ave E, Middleton, ID 83644-5809 Ph: (208) 585-6311 |
Mr. Brenton James Noel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644 Phone: 208-585-6311 | |
Kristin A Christensen, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 381 S Middleton Rd Ste B, Suite 115, Middleton, ID 83644 Phone: 208-585-6311 Fax: 208-585-6221 | |
Kristine P Kingery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 381 S Middleton Rd Ste B, Middleton, ID 83644 Phone: 208-585-6311 |