Lucas P Belford, PA

NPI #1104394337 in Blackfoot, Idaho

Provider Information

NPI Number: 1104394337
Entity Type: Individual
Name: Lucas P Belford, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 6, 2018
Last Updated: Sep 21, 2023

Practice Location

Address: 700 E ALICE ST
City: Blackfoot
State: Idaho
ZIP Code: 83221-4925
Phone: (208) 785-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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