| Mr Liam Andrew Wickenburg, | |
|
631 N Moonglow Ave, Kuna, ID 83634-2198 | |
| (707) 666-1096 | |
| Not Available |
| Full Name | Mr Liam Andrew Wickenburg |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 631 N Moonglow Ave, Kuna, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750074563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Liam Andrew Wickenburg, 631 N Moonglow Ave, Kuna, ID 83634-2198 Ph: (707) 666-1096 | Mr Liam Andrew Wickenburg, 631 N Moonglow Ave, Kuna, ID 83634-2198 Ph: (707) 666-1096 |
Mrs. Annie Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 708 E Wythe Creek Ct Ste 103, Kuna, ID 83634 Phone: 208-922-5130 Fax: 208-922-5132 | |
Megan Cory Mcintyre, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 825 W Deer Flat Rd, Kuna, ID 83634 Phone: 208-922-3355 Fax: 678-553-1263 | |
Mr. Trenton Hart, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 757 E Wythe Creek Ct Ste 100, Kuna, ID 83634 Phone: 208-302-6500 Fax: 208-302-6535 | |
Kelsey Ann Eyolfson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1474 N Meridian Rd, Kuna, ID 83634 Phone: 208-809-2885 Fax: 208-809-2886 | |
Colin Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13500 S. Pleasant Valley, Kuna, ID 83634 Phone: 208-922-8312 | |
Jeffrey V Ball, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 757 E Wythe Creek Ct, Kuna, ID 83634 Phone: 208-302-6500 Fax: 208-302-6535 | |
Greg Maloney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1474 N Meridian Rd, Kuna, ID 83634 Phone: 208-809-2885 Fax: 208-809-2886 |