MAXFIELD ROY LAWRENCE

FRUITLAND, ID
NPI1578232815
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2104)
Enumeration Date2021-09-09
Last Update Date2025-01-09
Business Address
MAXFIELD ROY LAWRENCE PA-C
1118 NW 16TH ST STE D
FRUITLAND, ID 83619-2272
Phone number: 208-452-7677
Mailing Address
MAXFIELD ROY LAWRENCE PA-C
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-8748
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