Brooke Lee Skinner, PHYSICIAN ASSISTANT

NPI #1659038669 in Pocatello, Idaho

Provider Information

NPI Number: 1659038669
Entity Type: Individual
Name: Brooke Lee Skinner, PHYSICIAN ASSISTANT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PHYSICIAN ASSISTANT
Enumeration Date: Nov 24, 2021
Last Updated: Dec 18, 2021

Practice Location

Address: 110 VISTA DR
City: Pocatello
State: Idaho
ZIP Code: 83201-5824
Phone: (208) 234-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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