Bruce Delawyer

NPI #1780001065 in Boise, Idaho

Provider Information

NPI Number: 1780001065
Entity Type: Individual
Name: Bruce Delawyer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist/Technologist, Other
Enumeration Date: Mar 25, 2014
Last Updated: Mar 25, 2014

Practice Location

Address: 190 E BANNOCK ST
City: Boise
State: Idaho
ZIP Code: 83712-6241
Phone: (208) 706-7051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other	246Z00000X	Primary

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