Mary Fisk Mebane, P.A.

NPI #1154374536 in Boise, Idaho

Provider Information

NPI Number: 1154374536
Entity Type: Individual
Name: Mary Fisk Mebane, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 18, 2006
Last Updated: Aug 18, 2012

Practice Location

Address: 701 E PARKCENTER BLVD
City: Boise
State: Idaho
ZIP Code: 83706-7539
Phone: (208) 381-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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