Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JED BURKE WILLARDSON, PA
ActiveJED BURKE WILLARDSON, PA is a Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1578716072 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1578716072
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2008 (17.801942621276 yrs)
- Last Updated
- Mar 4, 2009
- License
-
PA-779 (ID)
Practice Information
- Address
-
2377 CORONADO STSUITE CIDAHO FALLS, ID, 834047440Browse ID providers · Browse ZIP 83404
- Phone
- 2085237246
- Fax
- 2085237247
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DERON J RICKS | PA | 1639156573 |
| PHILIP C HESSE | PA | 1811975386 |
| JASON CHRISTOPHER JOYNER | PA-C | 1356310239 |
| MATTHEW R NELSON | PA C | 1649221912 |
| JOSEPH D ANDERSON | PA-C | 1386699833 |
| MATTHEW J MERZLOCK | PA-C | 1316985229 |
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.