BRYCE WIKFORS

CALDWELL, ID
NPI1588915292
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-996)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
Enumeration Date2012-09-21
Last Update Date2021-02-10
Business Address
BRYCE WIKFORS PA-C
206 E ELM ST
CALDWELL, ID 83605-4815
Phone number: 208-459-4511
Mailing Address
BRYCE WIKFORS PA-C
206 E ELM ST
CALDWELL, ID 83605-4815
Phone number: