MR. Corbin Bunnage, PA-C
NPI #1447325485 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1447325485
- Entity Type
- Individual
- Name
- MR. Corbin Bunnage, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 22, 2006
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 740 S WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-5285
- Phone
- (208) 542-9111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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