Dr JOHN L ETCHETO PA is a male medical professional, specializing in Physician Assistant. He graduated in 2007.
SOUTHERN IDAHO PAIN INSTITUTE P.C.
176 FALLS AVE
TWIN FALLS
ID
833012306
Tel: 2087333181
| Npi | 1073547113 |
| Pac Id | 9436050788 |
| Professional Enrollment Id | I20040119000603 |
| Last Name | ETCHETO |
| First Name | JOHN |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | PA |
| Medical School Name | OTHER |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | SOUTHERN IDAHO PAIN INSTITUTE P.C. |
| Group Practice Pac Id | 3577538578 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 176 FALLS AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TWIN FALLS |
| State | ID |
| Zip Code | 833012306 |
| Phone Number | 2087333181 |
| Hospital Affiliation Ccn 1 | 130002 |
| Hospital Affiliation Lbn 1 | ST LUKES MAGIC VALLEY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 131326 |
| Hospital Affiliation Lbn 2 | CASSIA REGIONAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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