James U Blacksher III, PAC

NPI #1760420590 in Cascade, Idaho

Provider Information

NPI Number: 1760420590
Entity Type: Individual
Name: James U Blacksher III, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jun 3, 2006
Last Updated: Mar 6, 2025

Practice Location

Address: 402 LAKE CASCADE PKWY
City: Cascade
State: Idaho
ZIP Code: 83611-7702
Phone: (208) 382-4242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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