Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TREVOR PETERSON, PA-C
Active Sole ProprietorTREVOR PETERSON, PA-C is a Physician Assistant healthcare provider located in BOISE, Idaho. NPI 1780352666 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BOISE, ID
Registration Details
- NPI Number
- 1780352666
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2021 (4.9650970539726 yrs)
- Last Updated
- Aug 7, 2024
- License
-
PA213384 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
777 N RAYMOND STBOISE, ID, 837049251Browse ID providers · Browse ZIP 83704
- Phone
- 2085142500
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Student (Health Education/Training)
Other Physician Assistant Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| MS. YELENA SHUEY | PA-C | 1124029939 |
| JEFFREY D SMITH | PA C | 1013905793 |
| CHADWICK ALDEN FISHER | PA | 1497744338 |
| RACHEL KING | PA | 1205826245 |
| DARRELL L KING | PA | 1770573644 |
| THOMAS F DOUTHIT | PA-C | 1023008414 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.