Borron Family Medicine Pllc

NPI 1033424429 - Clinic/Center - 261QP2300X

NPI Details
NPI 1033424429
Enumeration Date 08/10/2010
Last Updated 02/28/2013
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name BROOKNEY RAEANNE BROOKNEY
Position OWNER
Phone (208) 639-3990
Fax (208) 639-3992
Practice Location
790 W USTICK RD
STE 110
MERIDIAN ID, 83646-5558, US
Phone (208) 639-3990
Fax (208) 639-3992
Business Location
790 W USTICK RD
SUITE 110
MERIDIAN ID, 83646-5558, US
Phone (208) 639-3990
Fax (208) 639-3992
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Borron Family Medicine Pllc NPI is 1033424429, taxonomy code is 261QP2300X Borron Family Medicine Pllc physically located at 790 W Ustick Rd, Meridian ID, 83646-5558. NPI Number 1033115704 has the healthcare provider type.

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1033424429 NPI number is provided on an as is basis without warranty of any kind. 1033424429 is maintained by the National Plan & Provider Enumeration System. The contents of Borron Family Medicine Pllc are for informational purposes only.