| Doctor Name: | AARON CATMULL |
| NPI Number: | 1891101937 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | NP-1434A |
| Business Practice Address: | 1218 9th St Rupert, ID - 833502207 |
| Business Phone Number: | 2084364322 |
| Business Fax Number: | 2084361312 |
| Mailing Address: | 1218 9th St, RUPERT |
| State: | ID |
| Postal Code: | 833502207 |
| Phone Number: | 2084364322 |
| Fax Number: | 2084361312 |
| NPI Enumeration Date: | 07/09/2014 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-1434A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ID |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |