MISS Erin L Proctor, PA-C

NPI #1811987076 in Caldwell, Idaho

Provider Information

NPI Number: 1811987076
Entity Type: Individual
Name: MISS Erin L Proctor, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 27, 2005
Last Updated: Jan 10, 2013

Practice Location

Address: 315 E. ELM STE. 100
City: Caldwell
State: Idaho
ZIP Code: 83605-4858
Phone: (208) 459-7415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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