Carly D Hammer, PA-C

NPI #1588840409 in Eagle, Idaho

Provider Information

NPI Number: 1588840409
Entity Type: Individual
Name: Carly D Hammer, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 10, 2008
Last Updated: Nov 1, 2024

Practice Location

Address: 3101 E STATE ST STE 1100
City: Eagle
State: Idaho
ZIP Code: 83616-6232
Phone: (208) 473-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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