MR. JAMES PICANCO SR., P.A.-C
Physician Assistant
Active
Individual
NPI: 1407862139
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA01153 (TX) |
Frequently Asked Questions
NPI 1407862139 is the National Provider Identifier for MR. JAMES PICANCO SR., P.A.-C, a Physician Assistant provider located in Fort Hall, ID. This NPI was enumerated on August 1, 2006.
MR. JAMES PICANCO SR., P.A.-C practices at MISSION ROAD, Fort Hall, ID 83203.
Quick Facts
- NPI
- 1407862139
- Type
- Individual
- Enumerated
- Aug 1, 2006
- Last Updated
- Jul 18, 2007
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