THOMAS WAYNE TRYON

CALDWELL, ID
NPI1205885092
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA414)
Enumeration Date2006-05-09
Last Update Date2010-10-14
Business Address
-- THOMAS WAYNE TRYON PA
206 E ELM ST
CALDWELL, ID 83605-4815
Phone number: 208-459-4511
Mailing Address
-- THOMAS WAYNE TRYON PA
1031 W YOSEMITE DR
MERIDIAN, ID 83642-2598
Phone number: 208-898-0845
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