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Trevor Peterson, PA-C
NPI 1780352666 · on the registry since 2021 · sole proprietor
Practice
- Address
- 777 N Raymond St
Boise, ID 83704 - Phone
- (208) 514-2500
- Organisation at this address
- Family Practice Medical
Full Circle Health, Inc.
Family Practice Residency Of Idaho, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 155
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho