RICHARD A TRUMP

MERIDIAN, ID
NPI1063601177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-709)
Enumeration Date2007-10-15
Last Update Date2019-04-18
Business Address
RICHARD A TRUMP PA-C
3015 E MAGIC VIEW DR STE 120
MERIDIAN, ID 83642-3750
Phone number: 208-855-2410
Mailing Address
RICHARD A TRUMP PA-C
3015 E MAGIC VIEW DR
MERIDIAN, ID 83642-3743
Phone number: 208-855-2410
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