Individual
TREVOR TESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9850 W ST LUKES DR STE 280, NAMPA, ID 83687-7912
(208) 323-3767
(208) 323-3768
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-2470
ID
Other
Enumeration date
01/24/2023
Last updated
02/13/2025
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