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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JOHN DOUGLAS TRUEBLOOD, PAC

Active

JOHN DOUGLAS TRUEBLOOD, PAC is a Physician Assistant healthcare provider located in COTTONWOOD, Idaho. NPI 1629047931 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · COTTONWOOD, ID

Registration Details

NPI Number
1629047931
Provider Type
Individual
Gender
Male
NPI Issued
Mar 17, 2006 (20.266387685471 yrs)
Last Updated
Aug 16, 2023
Licenses
PA16906 (CA)
PA1623 (ID)

Practice Information

Address
701 LEWISTON STREET
COTTONWOOD, ID, 83522
Browse ID providers · Browse ZIP 83522
Phone
2089623267
Fax
2089623722
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in COTTONWOOD, ID

Name Credential NPI
JOHN BEEH PAC 1417952862
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.