Joseba Bidaburu
Physician Assistant in Meridian, ID. Individual provider (NPI-1).
NPI number1821727140
StatusActive
Last updated in NPPESApr 25, 2024
Details
- NPI
- 1821727140
- Entity type
- Individual (NPI-1)
- Name
- Joseba Bidaburu
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2022
- Certification date
- Apr 25, 2024
- Last updated
- Apr 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA-2742 | ID | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3280 E Lanark DrMeridian, ID 83642-5982
Phone 208-895-8670 · Fax 208-955-0494
Mailing address
Po Box 191050Boise, ID 83719-1050
Phone 208-985-1423 · Fax 208-955-6501
Other practice locations
536 S Hemingway Ave
Boise, ID 83709-7752
Boise, ID 83709-7752
Phone 208-591-0123
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All 133 Physician Assistant providers in Meridian · All 4,112 providers in Meridian
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