STANFORD GAMMON, P.A.

Physician Assistant - Surgical

Active Individual
NPI: 1477992592

Practice Address

3345 POTOMAC WAY
Idaho Falls, ID 83404

Phone: (208) 552-7572

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes PA-1328 (ID)

Frequently Asked Questions

NPI 1477992592 is the National Provider Identifier for STANFORD GAMMON, P.A., a Physician Assistant - Surgical provider located in Idaho Falls, ID. This NPI was enumerated on June 21, 2013.
STANFORD GAMMON, P.A. practices at 3345 POTOMAC WAY, Idaho Falls, ID 83404.

Quick Facts

NPI
1477992592
Type
Individual
Enumerated
Jun 21, 2013
Last Updated
Jul 7, 2022

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