Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEREMY DAVID WILLES, PAC
ActivePhysician Assistant · TWIN FALLS, ID
Registration Details
- NPI Number
- 1356314843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 7, 2006 (20.200798060338 yrs)
- Last Updated
- May 8, 2013
- Licenses
-
PA638 (ID)PA882 (NV)
Practice Information
- Address
-
260 FALLS AVESUITE CTWIN FALLS, ID, 833013370Browse ID providers · Browse ZIP 83301
- Phone
- 2087367422
- Fax
- 2087368905
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
Other Physician Assistant Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| CHUCK B FULLER | PA-C | 1124015102 |
| WINSTON N PETERSEN | PA-C | 1194714717 |
| BRIAN KEITH BIZIK | P.A. | 1932166956 |
| NEELIE BERLIN WILLIS | PA-C | 1477590958 |
| NICHOLAS J PERIUS | PA | 1154363000 |
| SCOTT D SCHRADER | P.A. | 1740223148 |
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.