Mr. TRENTON HART PA
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1114231693- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA
- Status
- Active
Contact & Location
- Address
- 757 E WYTHE CREEK CT STE 100, KUNA, ID, 836345006
- Phone
- (208) 302-6500
- Fax
- (208) 302-6535
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA-1251
Physician Assistant
License: ID #PA1251