Trevor Peterson, PA-C

NPI 1780352666 · on the registry since 2021 · sole proprietor

Practice

Address: 777 N Raymond St
Boise, ID 83704
Phone: (208) 514-2500
Organisation at this address: Family Practice Medical
Full Circle Health, Inc.
Family Practice Residency Of Idaho, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 154

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Student in an Organized Health Care Education/Training Program
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-07

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