TRAVIS BENTLEY AVERY

NAMPA, ID
NPI1467962548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1583)
Enumeration Date2017-10-03
Last Update Date2025-01-13
Business Address
TRAVIS BENTLEY AVERY PA-C
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-205-7600
Mailing Address
TRAVIS BENTLEY AVERY PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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