Jared Kent Wilson, PA-C, MPAS, MED, ATC
NPI #1275748089 in Pocatello, Idaho
Provider Information
- NPI Number
- 1275748089
- Entity Type
- Individual
- Name
- Jared Kent Wilson, PA-C, MPAS, MED, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C, MPAS, MED, ATC
- Enumeration Date
- May 14, 2007
- Last Updated
- Aug 3, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant - Surgical — Surgical |
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