Trenton Lucas Perry, PA

NPI #1780309880 in Eagle, Idaho

Provider Information

NPI Number: 1780309880
Entity Type: Individual
Name: Trenton Lucas Perry, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 11, 2022
Last Updated: Oct 11, 2022

Practice Location

Address: 435 S EAGLE RD
City: Eagle
State: Idaho
ZIP Code: 83616-6067
Phone: (208) 939-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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