Derek Eddie, PA-C

NPI #1346375367 in Pocatello, Idaho

Provider Information

NPI Number
1346375367
Entity Type
Individual
Name
Derek Eddie, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Feb 22, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
560 MEMORIAL DR
State
Idaho
ZIP Code
83201-4073
Phone
(208) 234-1960

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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