Robert E Brouillard

NPI #1154508703 in Boise, Idaho

Provider Information

NPI Number: 1154508703
Entity Type: Individual
Name: Robert E Brouillard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Jan 25, 2008
Last Updated: Sep 5, 2011

Practice Location

Address: 5440 W FRANKLIN RD
Address 2: STE 100
City: Boise
State: Idaho
ZIP Code: 83705-1079
Phone: (208) 422-1555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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