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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK EDDIE, PA-C

Active

DEREK EDDIE, PA-C is a Medical Physician Assistant healthcare provider located in POCATELLO, Idaho. NPI 1346375367 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · POCATELLO, ID

Registration Details

NPI Number
1346375367
Provider Type
Individual
Gender
Male
NPI Issued
Feb 22, 2007 (19.512098065837 yrs)
Last Updated
Jul 8, 2007
License
PA-662 (ID)

Practice Information

Address
560 MEMORIAL DR
POCATELLO, ID, 832014073
Browse ID providers · Browse ZIP 83201
Phone
2082341960
Fax
2082335033
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in POCATELLO, ID

Name Credential NPI
MRS. HELENA M. B. RIZOR PA 1073513065
DAVID E MARTIN PA-C 1215929690
LESLIE JEAN MCGOVERN PA-C, MHE, ATC, LAT 1831184712
TRUDY BEARDEN PA-C 1639151848
MR. PAUL BIENIASZ PA-C 1518934181
DEBRA R RAY PA 1730149865
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.