NPI 1013346410

Michael Blythe, PAC

Practitioner Physician Assistant Elko, NV

Practice location

Address: 2102 Idaho St, Elko, NV 89801
Phone: (775) 389-5777
Fax: (775) 360-3602
Mailing address: 2102 Idaho St, Elko, NV 89801-7913

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1983 (NV)

Other Physician Assistant providers in Nevada →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8797967-1206 (UT)

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 8797967-8906 (UT)

Registry record

NPI: 1013346410
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2013
Record last updated: 14 Mar 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.