Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES PICANCO SR., P.A.-C
ActiveMR. JAMES PICANCO SR., P.A.-C is a Physician Assistant healthcare provider located in FORT HALL, Idaho. NPI 1407862139 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT HALL, ID
Registration Details
- NPI Number
- 1407862139
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2006 (20.021362267198 yrs)
- Last Updated
- Jul 18, 2007
- License
-
PA01153 (TX)
Practice Information
- Address
-
MISSION ROADFORT HALL, ID, 832030717Browse ID providers · Browse ZIP 83203
- Phone
- 2082385427
- Fax
- 2082385465
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in FORT HALL, ID
| Name | Credential | NPI |
|---|---|---|
| MISS CHANTELLE E BOWMAN | PA-C | 1063740082 |
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.