JARED WILSON, PA-C, MPAS, MED, ATC
Physician Assistant - Surgical
Active
Individual
NPI: 1275748089
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | No | AT-492 (ID) |
| Physician Assistant - Surgical | 363AS0400X | Yes | PA-952 (ID) |
Frequently Asked Questions
NPI 1275748089 is the National Provider Identifier for JARED WILSON, PA-C, MPAS, MED, ATC, a Physician Assistant - Surgical provider located in Pocatello, ID. This NPI was enumerated on May 14, 2007.
JARED WILSON, PA-C, MPAS, MED, ATC practices at 777 HOSPITAL WAY, SOUTH MOB, SUITE 204, Pocatello, ID 83201.
Quick Facts
- NPI
- 1275748089
- Type
- Individual
- Enumerated
- May 14, 2007
- Last Updated
- Aug 3, 2025
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