NPI 1205885092

Thomas Wayne Tryon, PA

Practitioner Physician Assistant Caldwell, ID

Practice location

Address: 206 E Elm St, Caldwell, ID 83605-4815
Phone: (208) 459-4511
Fax: (208) 459-6602
Mailing address: 1031 W Yosemite Dr, Meridian, ID 83642-2598

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA414 (ID)

Other Physician Assistant providers in Idaho →

Registry record

NPI: 1205885092
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 May 2006
Record last updated: 14 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.