Tea Hasanovic, PA-C

NPI #1073119780 in Fruitland, Idaho

Provider Information

NPI Number: 1073119780
Entity Type: Individual
Name: Tea Hasanovic, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 8, 2020
Last Updated: Apr 17, 2023

Practice Location

Address: 2101 N WHITLEY DR
City: Fruitland
State: Idaho
ZIP Code: 83619-2132
Phone: (208) 452-5999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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