CHARLES EDWARD BRIOSCHI

FRUITLAND, ID
NPI1083086870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  PA-1317)
Enumeration Date2015-10-20
Last Update Date2016-02-17
Business Address
-- CHARLES EDWARD BRIOSCHI PA
910 NW 16TH STREET STE 205
FRUITLAND, ID 83619-2265
Phone number: 208-452-3111
Mailing Address
-- CHARLES EDWARD BRIOSCHI PA
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-452-3111
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