TRAVIS BENTLEY AVERY PA-C
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1467962548- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 9850 W ST LUKES DR, NAMPA, ID, 836877912
- Phone
- (208) 205-7600
- Fax
- (208) 205-7603
Specialties & Taxonomies
Physician Assistant
Primary License: ID #PA-1583
All Addresses
MAILING
190 E BANNOCK ST
BOISE, ID, 837126241