Individual
LUIS ALCARAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-7350
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6561472
ID
Other
Enumeration date
08/06/2022
Last updated
01/24/2025
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