Vincent Fibelstad, PA

NPI #1184762825 in Lewiston, Idaho

Provider Information

NPI Number: 1184762825
Entity Type: Individual
Name: Vincent Fibelstad, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 2, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2431
Phone: (208) 743-2511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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