TATE STAKER, PA-C
Physician Assistant
Active
Individual
NPI: 1184253585
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Physician Assistant | 363A00000X | Yes | PA-1932 (ID) |
Frequently Asked Questions
NPI 1184253585 is the National Provider Identifier for TATE STAKER, PA-C, a Physician Assistant provider located in Rexburg, ID. This NPI was enumerated on April 7, 2020.
TATE STAKER, PA-C practices at 130 W MAIN ST, Rexburg, ID 83440.
Quick Facts
- NPI
- 1184253585
- Type
- Individual
- Enumerated
- Apr 7, 2020
- Last Updated
- Oct 28, 2021
Nearby Providers
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BRUCE BARTON, M.D.
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BRACKEN BATEMAN, DDS
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IDAHO DEPT OF HEALTH & WELFARE REGION 7 AMH PSR REXBURG
Clinic/Center - Mental Health (Including Community Mental Health Center)