MR. Jay Dean Burrup, PA-C

NPI #1144504556 in Meridian, Idaho

Provider Information

NPI Number
1144504556
Entity Type
Individual
Name
MR. Jay Dean Burrup, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Oct 4, 2011
Last Updated
Feb 7, 2025

Practice Location

Address
3399 E LOUISE DR STE 400
State
Idaho
ZIP Code
83642-5212
Phone
(208) 706-4650

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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