Individual
BRIAN FLOYD WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2965 E TARPON DR, MERIDIAN, ID 83642-9009
(208) 918-2525
Mailing address
2965 E TARPON DR, MERIDIAN, ID 83642-9009
(208) 918-2525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12457925-1206
UT
Other
Enumeration date
08/06/2021
Last updated
05/07/2025
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