Tyrell C Erlebach, PA-C

NPI #1033391396 in Boise, Idaho

Provider Information

NPI Number: 1033391396
Entity Type: Individual
Name: Tyrell C Erlebach, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 28, 2007
Last Updated: Oct 23, 2012

Practice Location

Address: 6140 W. CURTISIAN STE 102
City: Boise
State: Idaho
ZIP Code: 83704-0109
Phone: (208) 367-7787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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