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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT E BROUILLARD

Active

Specialist · BOISE, ID

Registration Details

NPI Number
1154508703
Provider Type
Individual
Gender
Male
NPI Issued
Jan 25, 2008 (18.257260465188 yrs)
Last Updated
Sep 5, 2011
License
PT-2323 (ID)

Practice Information

Address
5440 W FRANKLIN RD
STE 100
BOISE, ID, 837051079
Browse ID providers · Browse ZIP 83705
Phone
2084221555
Primary Specialty
Specialist
174400000X

Other Specialist Providers in BOISE, ID

Name Credential NPI
DR. RONALD E. LOWRY M.D., D.D.S., P.A. 1992797641
DR. JENNIFER G. GOTTO M.D. 1518941459
BREK DAVID STOKER AUD, CCC-A 1609822402
DR. SCOTT L CHRISTENSEN MD 1386672228
RICHARD C RIPPLE JR. M.D. 1497861769
DR. ERIC GREGORY THOMPSON DPT 1063514867
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.