LUCAS P BELFORD PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1104394337- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 700 E ALICE ST, BLACKFOOT, ID, 832214925
- Phone
- (208) 785-1200
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA-1676