Anthony Frederick Bushnell, PA-C

NPI #1417376229 in Caldwell, Idaho

Provider Information

NPI Number: 1417376229
Entity Type: Individual
Name: Anthony Frederick Bushnell, PA-C
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 9, 2014
Last Updated: Dec 2, 2015

Practice Location

Address: 315 EAST ELM
Address 2: STE 100
City: Caldwell
State: Idaho
ZIP Code: 83605
Phone: (208) 459-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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