Joshua Shane Blanchard, PA-C

NPI #1407537400 in Pocatello, Idaho

Provider Information

NPI Number: 1407537400
Entity Type: Individual
Name: Joshua Shane Blanchard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 31, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 495 YELLOWSTONE AVE
City: Pocatello
State: Idaho
ZIP Code: 83201-4531
Phone: (208) 478-7422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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