Individual
CLAYTON ANDREW THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-2675
ID
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
12/05/2023
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