TRENTON LUCAS PERRY

EAGLE, ID
NPI1780309880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2373)
Enumeration Date2022-10-11
Last Update Date2022-10-11
Business Address
TRENTON LUCAS PERRY PA
435 S EAGLE RD
EAGLE, ID 83616-6067
Phone number: 208-939-8200
Mailing Address
TRENTON LUCAS PERRY PA
PO BOX 191050
BOISE, ID 83719-1050
Phone number:
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