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

GLORIA CALVILLO

Active

GLORIA CALVILLO is a Physician Assistant healthcare provider located in MOUNTAIN HOME AFB, Idaho. NPI 1821629288 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MOUNTAIN HOME AFB, ID

Registration Details

NPI Number
1821629288
Provider Type
Individual
Gender
Female
NPI Issued
Feb 3, 2020 (6.5146237923188 yrs)
Last Updated
Jun 16, 2025

Practice Information

Address
90 HOPE DR BLDG 6000
MOUNTAIN HOME AFB, ID, 836481062
Browse ID providers · Browse ZIP 83648
Phone
2088287401
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MOUNTAIN HOME AFB, ID

Name Credential NPI
MR. PAULO RAFAEL DEPAULA PA-C 1518193507
AMANDA MARIE RALSTON PA 1336800945
KAYLA AZALEA POPE PA-C 1568123818
ALYSSA MAY PEREZ PA-C 1376355867
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.