Raul Godina, PA-C

NPI #1336499730 in Caldwell, Idaho

Provider Information

NPI Number: 1336499730
Entity Type: Individual
Name: Raul Godina, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 12, 2012
Last Updated: Jul 30, 2020

Practice Location

Address: 512 N 21ST AVE
City: Caldwell
State: Idaho
ZIP Code: 83605-4368
Phone: (208) 809-2875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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