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Trae Pilster, PA-C
Surgical Physician Assistant in Burley, Idaho
NPI 1578256814

Trae Pilster is a Surgical Physician Assistant based in Blackfoot, ID and is specialized in Surgical. Trae Pilster practices in Burley, ID and has the professional credentials of PA-C. The NPI Number for Trae Pilster is 1578256814 and holds a License No. (Idaho).

The current practice location address for Trae Pilster is 1501 Hiland Ave, Burley, ID and can be reached out via phone at 208-678-4444.

Location: 1501 Hiland Ave, Burley, ID, 83221-5682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578256814
Provider Name
Trae Pilster
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1501 Hiland Ave, Burley, ID, 83221-5682
Phone Number
208-678-4444
Fax Number
Provider Enumeration Date
06/01/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Hiland Ave
City
Burley
State
Idaho
Zip
83318-2688
Phone Number
208-678-4444
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Hiland Ave
City
Burley
State
Idaho
Zip
83318-2688
Phone Number
208-678-4444
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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