MR. James Picanco SR., P.A.-C
NPI #1407862139 in Fort Hall, Idaho
Provider Information
- NPI Number
- 1407862139
- Entity Type
- Individual
- Name
- MR. James Picanco SR., P.A.-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- P.A.-C
- Enumeration Date
- Aug 1, 2006
- Last Updated
- Jul 18, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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