| Jared Mudge, PA-C | |
|
Po Box 388, Plummer, ID 83851-0388 | |
| (208) 686-5133 | |
| Not Available |
| Full Name | Jared Mudge |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | Po Box 388, Plummer, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679398929 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5761672 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Mudge, PA-C 200 S Idaho St, Post Falls, ID 83854-7552 Ph: (208) 686-5133 | Jared Mudge, PA-C Po Box 388, Plummer, ID 83851-0388 Ph: (208) 686-5133 |
Katelyn Hammrich, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 | |
Joy Katherine Goodwin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 |