Michael A. Hallstrom, PA-C
Physician Assistant · Boise, ID
UnclaimedPA-CNPI 1972950210
- Primary taxonomy
- 363A00000X
- Enumerated
- 2016-05-17
- Practice location
- Boise, ID
- Last NPPES update
- 2018-03-17
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.