Individual
MICHAEL J TRIMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6165 W EMERALD STREET, BOISE, ID 83704
(208) 302-3500
(208) 302-3555
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642
(208) 302-3500
(208) 302-3555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
757
CO
363A00000X
Physician Assistant
Primary
PA-1602
ID
Other
Enumeration date
04/20/2006
Last updated
05/22/2018
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