TOMAS JON SCOLERI

TWIN FALLS, ID
NPI1265167019
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2303)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2022-07-17
Last Update Date2022-09-08
Business Address
TOMAS JON SCOLERI
775 POLE LINE RD W STE 213
TWIN FALLS, ID 83301-5820
Phone number: 208-814-8475
Mailing Address
TOMAS JON SCOLERI
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: