Whalio Doctors

NPI 1013299866

Hodaka Paul Abe, PA

Practitioner Physician Assistant Caldwell, ID

Practice location

Address
206 E Elm St, Caldwell, ID 83605-4815
Phone
(208) 459-4511
Fax
(208) 459-6602

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA 926 (ID)

Registry record

NPI
1013299866
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Sep 2011
Record last updated
16 Sep 2011

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.