RICHARD MCCHRYSTAL

BOISE, ID
NPI1659464923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  RPA163)
Enumeration Date2006-10-01
Last Update Date2007-07-08
Business Address
-- RICHARD MCCHRYSTAL P.A.
4809 W FAIRVIEW AVE
BOISE, ID 83706-2242
Phone number: 208-378-2840
Mailing Address
-- RICHARD MCCHRYSTAL P.A.
PO BOX 4236
BOISE, ID 83711-4236
Phone number: 208-378-2840
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