Hayden Wheatley, PA-C

NPI #1336990514 in Rupert, Idaho

Provider Information

NPI Number: 1336990514
Entity Type: Individual
Name: Hayden Wheatley, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 27, 2024
Last Updated: Mar 27, 2024

Practice Location

Address: 402 6TH ST
City: Rupert
State: Idaho
ZIP Code: 83350-1619
Phone: (208) 650-7941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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