LIAM ANDREW WICKENBURG

MERIDIAN, ID
NPI1750074563
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  8871273)
Enumeration Date2023-05-29
Last Update Date2025-10-15
Business Address
Mr. LIAM ANDREW WICKENBURG
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642-6355
Phone number: 208-381-6930
Mailing Address
Mr. LIAM ANDREW WICKENBURG
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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