Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANFORD BENJAMIN GAMMON, P.A.
ActiveSTANFORD BENJAMIN GAMMON, P.A. is a Surgical Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1477992592 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1477992592
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2013 (13.110528974425 yrs)
- Last Updated
- Jul 7, 2022
- License
-
PA-1328 (ID)
Practice Information
- Address
-
3345 POTOMAC WAYIDAHO FALLS, ID, 834044978Browse ID providers · Browse ZIP 83404
- Phone
- 2085527572
- Fax
- 2085527312
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| CODY FOWLER | P.A.-C | 1386018950 |
| MR. NICHOLAS HENSLEY | MPAS, PA-C | 1831647197 |
| TRAE PILSTER | PA-C | 1578256814 |
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.