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Contact Information

AUSTEN R CARDOZA, PA-C
427 N 12TH ST
PLUMMER, ID83851
 Phone: 208-686-1931
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for AUSTEN R CARDOZA · (Male)

NPI Number 1821766296
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/01/2021
Last updated 04/26/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WA License # 1199369
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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