Individual
NICHOLAS J PERIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
650 ADDISON AVE W, TWIN FALLS, ID 83301-5444
(208) 732-3429
(208) 732-3220
Mailing address
PO BOX 409, TWIN FALLS, ID 83303-0409
(208) 732-3429
(208) 732-3220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-258
ID
Other
Enumeration date
06/12/2006
Last updated
07/24/2007
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