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1508593765
LUIS ALCARAZ
POCATELLO, ID
NPI
1508593765
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: ID 6561472)
Enumeration Date
2022-08-06
Last Update Date
2025-01-18
Business Address
LUIS ALCARAZ PA-C
921 S 8TH AVE STOP 8253
POCATELLO, ID 83209-0002
Phone number: 208-282-4726
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Mailing Address
LUIS ALCARAZ PA-C
1055 N CURTIS RD
BOISE, ID 83706-1309
Phone number: 208-367-2121
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