TREVOR J CRAPO

CALDWELL, ID
NPI1285105544
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1684)
Enumeration Date2018-12-16
Last Update Date2019-01-08
Business Address
TREVOR J CRAPO PA
315 E ELM ST STE 100
CALDWELL, ID 83605
Phone number: 208-302-7100
Mailing Address
TREVOR J CRAPO PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642
Phone number: 208-302-7100