Thomas Wayne Tryon, PA

NPI #1205885092 in Caldwell, Idaho

Provider Information

NPI Number: 1205885092
Entity Type: Individual
Name: Thomas Wayne Tryon, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 9, 2006
Last Updated: Oct 14, 2010

Practice Location

Address: 206 E ELM ST
City: Caldwell
State: Idaho
ZIP Code: 83605-4815
Phone: (208) 459-4511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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