John David Mcdermott, P.A.

NPI #1689627069 in Eagle, Idaho

Provider Information

NPI Number: 1689627069
Entity Type: Individual
Name: John David Mcdermott, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: May 18, 2006
Last Updated: Sep 4, 2012

Practice Location

Address: 3101 E STATE ST
Address 2: SUITE 2120
City: Eagle
State: Idaho
ZIP Code: 83616
Phone: (208) 473-3275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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