Bryce Wikfors, PA-C

NPI 1588915292 · on the registry since 2012

Practice

Address: 206 E Elm St
Caldwell, ID 83605
Phone: (208) 459-4511
Organisation at this address: Progressive Therapy Pc
Human Supports Of Idaho
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363AS0400X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-02-10

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