Search › Idaho › 363A00000X
Tyrell Erlebach, PA-C
NPI 1033391396 · on the registry since 2007
Practice
- Address
- 6140 W. Curtisian Ste 102
Boise, ID 83704 - Phone
- (208) 367-7787
- Fax
- (208) 367-7798
- Organisation at this address
- Ica Cath Lab Llc
Idaho Cardiology Associates PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X - Licence states on file
- NC, OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-10-23
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