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TREVOR PETERSON, PA-C

PA-C

Physician Assistant

NPI: 1780352666IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

PA213384(OR)
Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

CMS Specialties

Education

OTHER

Class of 2022

Contact & Hours

Address
777 N RAYMOND ST
BOISE, ID 83704

Quick Facts

NPI
1780352666
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
4

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