Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE E. GOLLUB, M.D.
ActiveFamily Medicine · TWIN FALLS, ID
Registration Details
- NPI Number
- 1508855917
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2005 (20.507463664785 yrs)
- Last Updated
- Nov 30, 2023
- Licenses
-
80-158 (NM)80-158 (NM)M-17332 (ID)
Practice Information
- Address
-
775 POLE LINE RD W STE 103TWIN FALLS, ID, 833015819Browse ID providers · Browse ZIP 83301
- Phone
- 2088148375
- Fax
- 2088148376
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CATHY WHITE CANTY | M.D. | 1013974658 |
| LAURA M FALL | MD | 1518924026 |
| DR. MICHAEL K DUFFY | MD | 1790742898 |
| ERIK LONG | M.D. | 1609834621 |
| JOSEPH L WATERS | M.D. | 1578503926 |
| DAVID KURT SEPPI | M.D. | 1811938285 |
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.