Thornton E Bryan III MD

NPI 1003808924 - Family Medicine - 207Q00000X

NPI Details
NPI 1003808924
Gender Male
Enumeration Date 08/17/2005
Last Updated 09/26/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
701 E PARKCENTER BLVD
BOISE ID, 83706-6528, US
Phone (208) 381-6500
Fax (208) 381-6505
Business Location
190 E BANNOCK ST
BOISE ID, 83712-6241, US
Phone (208) 381-2222
Fax (615) 597-5075
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number MD0000027731
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According to our database, Dr. Thornton E Bryan III MD NPI is 1003808924, taxonomy code is 207Q00000X and license number is MD0000027731, license state is located at Tennessee. Thornton E Bryan III MD physically located at 701 E Parkcenter Blvd, Boise ID, 83706-6528. NPI Number Thornton E Bryan III MD has the Individual type.

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1003808924 NPI number is provided on an as is basis without warranty of any kind. 1003808924 is maintained by the National Plan & Provider Enumeration System. The contents of Thornton E Bryan III MD are for informational purposes only.