Anna L Gelok, PA-C
Physician Assistant in Boise, ID. Individual provider (NPI-1).
NPI number1063772614
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1063772614
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Anna L Gelok
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 16, 2012
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2015 | ID | Yes |
| 363A00000X | Physician Assistant | PA157058 | OR |
Other names
- Anna L Minton (Former Name)
Practice location
701 E Parkcenter BlvdBoise, ID 83706-6528
Phone 208-381-4210 · Fax 208-381-2045
Mailing address
190 E Bannock StBoise, ID 83712-6241
Other practice locations
598 E 13th Ave
Eugene, OR 97401-4783
Eugene, OR 97401-4783
Phone 541-640-7625
1800 Coburg Rd
Eugene, OR 97401-4995
Eugene, OR 97401-4995
Phone 541-640-7625
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