NPI 1013568468

Micah Ray Tobin, PA

Practitioner Physician Assistant Boise, ID

Practice location

Address: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: (208) 302-5950
Fax: (208) 302-5955
Mailing address: PO Box 190930, Boise, ID 83719-0930

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-1776 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1013568468
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2019
Record last updated: 20 Dec 2023

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.