Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHAN B PITTARD, PA-C
Active Sole ProprietorMedical Physician Assistant · TWIN FALLS, ID
Registration Details
- NPI Number
- 1376876599
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2009 (16.61895779239 yrs)
- Last Updated
- Dec 4, 2023
- License
-
PA804 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
243 CHENEY DR W STE 200TWIN FALLS, ID, 833014278Browse ID providers · Browse ZIP 83301
- Phone
- 2087367422
- Fax
- 2087368905
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| KARI L BROSE | PA | 1356308282 |
| GAIL RAE COOK | P.A. | 1447217955 |
| JOHN URRUTIA | P.A.C | 1831290097 |
| MS. GLADYS MARIE RASCH | MPA-C | 1194909598 |
| MERRICK GORDON REYNOLDS | PA | 1891097234 |
| MR. CAMERON BURGESS FREEMAN | PA-C | 1174860878 |
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.