Brody G. Yardumian
Physician Assistant · Boise, ID
UnclaimedNPI 1801439815
- Primary taxonomy
- 363A00000X
- Enumerated
- 2019-10-22
- Practice location
- Boise, ID
- Last NPPES update
- 2021-07-02
State licenses
- CA · Physician assistant · NPPES self-reportedListed on NPI record
- ID · Physician assistant · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.