Micah Ray Tobin, PA

NPI #1013568468 in Boise, Idaho

Provider Information

NPI Number: 1013568468
Entity Type: Individual
Name: Micah Ray Tobin, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 26, 2019
Last Updated: Dec 20, 2023

Practice Location

Address: 10583 W LAKE HAZEL RD
City: Boise
State: Idaho
ZIP Code: 83709
Phone: (208) 302-5950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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