TRENT MATTHEW DELONG

NAMPA, ID
NPI1588246268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-1876)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-22
Last Update Date2024-10-16
Business Address
TRENT MATTHEW DELONG DO
9850 W ST LUKES DR
NAMPA, ID 83687-7912
Phone number: 208-205-7282
Mailing Address
TRENT MATTHEW DELONG DO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: