NPI 1437455318

Benjamin Don Burtenshaw, PAC

Practitioner Physician Assistant Gooding, ID

Practice location

Address: 267 N Canyon Dr, Gooding, ID 83330-5500
Phone: (208) 934-4433
Mailing address: 611 Pine St, Gooding, ID 83330-1755

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA-898 (ID)

Other Physician Assistant providers in Idaho →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 4810 (AZ)

Registry record

NPI: 1437455318
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2011
Record last updated: 21 Jan 2013

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.