NPI 1003461401

Noah Bernal

Practitioner Medical Physician Assistant Idaho Falls, ID

Practice location

Address: 3614 Washington Pkwy, Idaho Falls, ID 83404-7573
Phone: (208) 535-4343
Mailing address: 6410 E Mansion Hill Dr, Ammon, ID 83406-4707

Registered specialties (3)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in Idaho →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Sports Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence PA-1924 (ID)

Other Physical Medicine & Rehabilitation providers in Idaho →

Registry record

NPI: 1003461401
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Aug 2019
Record last updated: 21 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.