John Douglas Trueblood, PAC

NPI #1629047931 in Cottonwood, Idaho

Provider Information

NPI Number: 1629047931
Entity Type: Individual
Name: John Douglas Trueblood, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Mar 17, 2006
Last Updated: Aug 16, 2023

Practice Location

Address: 701 LEWISTON STREET
City: Cottonwood
State: Idaho
ZIP Code: 83522
Phone: (208) 962-3267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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