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Search › Idaho › 208100000X

Brandon Brevig, D.O

NPI 1306057641 · on the registry since 2007 · sole proprietor

Practice

Address
302 W Idaho St
Boise, ID 83702
Phone
(208) 994-4962
Fax
(888) 913-3862
Organisation at this address
Sparkmd
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-01-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho