BRYCE DAVID WYLIE

SAINT ANTHONY, ID
NPI1811043862
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1013)
Enumeration Date2007-01-25
Last Update Date2024-03-11
Business Address
BRYCE DAVID WYLIE PA-C
335 E MAIN ST STE 1
SAINT ANTHONY, ID 83445-1546
Phone number: 208-356-4900
Mailing Address
BRYCE DAVID WYLIE PA-C
PO BOX 18
SAINT ANTHONY, ID 83445-0018
Phone number: 208-356-4900