ARIEL TAYSOM, PA-C

Physician Assistant

Active Individual
NPI: 1609341098

Practice Address

220 BANNOCK ST
Malad City, ID 83252

Phone: (208) 766-2600

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA-1656 (ID)

Frequently Asked Questions

NPI 1609341098 is the National Provider Identifier for ARIEL TAYSOM, PA-C, a Physician Assistant provider located in Malad City, ID. This NPI was enumerated on October 11, 2018.
ARIEL TAYSOM, PA-C practices at 220 BANNOCK ST, Malad City, ID 83252.

Quick Facts

NPI
1609341098
Type
Individual
Enumerated
Oct 11, 2018
Last Updated
Nov 16, 2021

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