TEA HASANOVIC, PA-C

Physician Assistant

Active Individual
NPI: 1073119780

Practice Address

2101 N WHITLEY DR
Fruitland, ID 83619

Phone: (208) 452-5999

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA-1978 (ID)

Frequently Asked Questions

NPI 1073119780 is the National Provider Identifier for TEA HASANOVIC, PA-C, a Physician Assistant provider located in Fruitland, ID. This NPI was enumerated on December 8, 2020.
TEA HASANOVIC, PA-C practices at 2101 N WHITLEY DR, Fruitland, ID 83619.

Quick Facts

NPI
1073119780
Type
Individual
Enumerated
Dec 8, 2020
Last Updated
Apr 17, 2023

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