Richard A Trump, PA-C

NPI #1063601177 in Meridian, Idaho

Provider Information

NPI Number: 1063601177
Entity Type: Individual
Name: Richard A Trump, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 15, 2007
Last Updated: Apr 18, 2019

Practice Location

Address: 3015 E MAGIC VIEW DR STE 120
City: Meridian
State: Idaho
ZIP Code: 83642-3750
Phone: (208) 855-2410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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