| Miss Chantelle E Bowman, PA-C | |
|
717 Mission Road, Community Health Nursing Program, Fort Hall, ID 83203 | |
| (208) 238-5435 | |
| (208) 238-5440 |
| Full Name | Miss Chantelle E Bowman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 717 Mission Road, Fort Hall, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063740082 | NPI | - | NPPES |
| PA831 | Other | ID | IDAHO BOARD OF MEDICINE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA-831 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Chantelle E Bowman, PA-C Po Box 306, Fort Hall, ID 83203-0306 Ph: (208) 234-2300 | Miss Chantelle E Bowman, PA-C 717 Mission Road, Community Health Nursing Program, Fort Hall, ID 83203 Ph: (208) 238-5435 |
Mr. James Picanco Sr., P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Mission Road, Fort Hall, ID 83203 Phone: 208-238-5427 Fax: 208-238-5465 |