NPI 1386063980

Colin Brown, PAC

Practitioner Physician Assistant Kuna, ID

Practice location

Address: 13500 S. Pleasant Valley, Kuna, ID 83634
Phone: (208) 922-8312
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-1176 (ID)

Other Physician Assistant providers in Idaho →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 51458 (CA)

Registry record

NPI: 1386063980
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Apr 2014
Record last updated: 10 Mar 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.