Alex P. Casebolt, PA

Physician Assistant · Boise, ID

Individual Active NPI

NPI number 1346283363

Practice location

6051 W Emerald St
Boise, ID 83704-8969
Phone
(208) 302-5150
Fax
(208) 302-5155

Open in Google Maps

NPI record

NPI
1346283363
Entity type
Individual (Type 1)
Enumeration date
June 14, 2006
Last updated
May 28, 2024
Certified
May 28, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X PA300 ID

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone
(208) 367-5170
Fax
(208) 367-5180

Other practice locations (1)

  • 8800 W Emerald St Ste 196, Boise, ID 83704-8205 · (208) 375-1105

About Alex Casebolt

Alex P. Casebolt, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 6051 W Emerald St, Boise, ID 83704-8969. The NPI number 1346283363 was assigned on June 14, 2006 and the record was last updated on May 28, 2024.

Alex Casebolt lists a license in the registry: #PA300 (ID) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alex P. Casebolt, PA?

The NPI number is 1346283363.

What is the phone number of Alex Casebolt?

The phone number listed for the practice location is (208) 302-5150.

Where is Alex Casebolt located?

6051 W Emerald St, Boise, ID 83704-8969.

What is the taxonomy code for Alex Casebolt?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Boise

All Physician Assistant providers in Boise, ID →