Amanda Burks

NPI #1699305185 in Moscow, Idaho

Provider Information

NPI Number: 1699305185
Entity Type: Individual
Name: Amanda Burks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jan 23, 2020
Last Updated: Oct 10, 2023

Practice Location

Address: 803 S MAIN ST STE 120
City: Moscow
State: Idaho
ZIP Code: 83843-2695
Phone: (208) 848-8300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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