Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUDE BOUTKASKA, PA
ActiveMR. JUDE BOUTKASKA, PA is a Medical Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1801948591 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1801948591
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.389100503324 yrs)
- Last Updated
- Apr 16, 2021
- License
-
PA343 (ID)
Practice Information
- Address
-
413 ALLUMBAUGH STSUITE 101BOISE, ID, 837049212Browse ID providers · Browse ZIP 83704
- Phone
- 2083626162
- Fax
- 2083629604
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MARSHALL GARDNER | PA-C | 1316943343 |
| JESSICA ANNE BRIGGS | PA-C | 1053311084 |
| BRADY G HAMILTON | PA-C | 1245221258 |
| NATHAN JOHN CHURCH | PA-C | 1386635977 |
| MRS. JENNIFER M FEIRSTEIN | PA-C | 1073599106 |
| ROBERT E SHUMAKER | PA | 1902867849 |
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.