NPI 1821766296

Austen Reis Cardoza, PAC

Practitioner Physician Assistant Plummer, ID

Practice location

Address: 427 N 12th St, Plummer, ID 83851
Phone: (208) 686-1931
Mailing address: 427 12th Street/ PO Box 388, Plummer, ID 83851

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1199369 (WA)

Other Physician Assistant providers in Idaho →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1821766296
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Sep 2021
Record last updated: 26 Apr 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.