Samuel Merritt Uebelacker, PA-C

NPI #1316587751 in Meridian, Idaho

Provider Information

NPI Number: 1316587751
Entity Type: Individual
Name: Samuel Merritt Uebelacker, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 14, 2020
Last Updated: Feb 27, 2020

Practice Location

Address: 2855 E MAGIC VIEW DR
City: Meridian
State: Idaho
ZIP Code: 83642-6245
Phone: (208) 639-4900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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