M&a Medical

NPI #1073117875 in Pocatello, Idaho

Provider Information

NPI Number: 1073117875
Entity Type: Organization
Organization Name: M&a Medical
Primary Specialty: Physician Assistant
Enumeration Date: Nov 23, 2020
Last Updated: Jan 18, 2021

Practice Location

Address: 1155 YELLOWSTONE AVE STE F
City: Pocatello
State: Idaho
ZIP Code: 83201-4369
Phone: (208) 237-3749

Authorized Official

Name: AMY L MCKINLAY, PA
Title: PA / OWNER
Phone: (208) 237-3749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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