TAI BANTA

Physician Assistant

Active Individual
NPI: 1467185843

Practice Address

14107 N 5TH E
Idaho Falls, ID 83401

Phone: (208) 881-7462

Frequently Asked Questions

NPI 1467185843 is the National Provider Identifier for TAI BANTA, a Physician Assistant provider located in Idaho Falls, ID. This NPI was enumerated on July 5, 2022.
TAI BANTA practices at 14107 N 5TH E, Idaho Falls, ID 83401.

Quick Facts

NPI
1467185843
Type
Individual
Enumerated
Jul 5, 2022
Last Updated
Oct 14, 2022

Nearby Providers