Demitri Carahalios, PHYSICIAN ASSISTANT

NPI #1346973245 in Meridian, Idaho

Provider Information

NPI Number
1346973245
Entity Type
Individual
Name
Demitri Carahalios, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Jul 7, 2022
Last Updated
Jul 7, 2022

Practice Location

Address
1311 E CENTRAL DR
State
Idaho
ZIP Code
83642-7991
Phone
(720) 940-1562

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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