| Victor M Ishida, PA | |
|
910 Nw 16th St Ste 101, Fruitland, ID 83619-2265 | |
| (208) 452-8050 | |
| (208) 452-8055 |
| Full Name | Victor M Ishida |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 910 Nw 16th St Ste 101, 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 |
|---|---|---|---|
| 1194894113 | NPI | - | NPPES |
| 805922100 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA423 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Victor M Ishida, PA 910 Nw 16th St Ste 101, Fruitland, ID 83619-2265 Ph: (208) 452-8050 | Victor M Ishida, PA 910 Nw 16th St Ste 101, Fruitland, ID 83619-2265 Ph: (208) 452-8050 |
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 | |
Charles Edward Brioschi Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 910 Nw 16th Street, Ste 205, Fruitland, ID 83619 Phone: 208-452-3111 Fax: 208-452-3666 | |
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 |