Brent Kenner Childers, MD

NPI #1124067566 in Boise, Idaho

Provider Information

NPI Number: 1124067566
Entity Type: Individual
Name: Brent Kenner Childers, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Jun 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 8800 W EMERALD ST
City: Boise
State: Idaho
ZIP Code: 83704-8205
Phone: (208) 373-5000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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