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1134743628
BRANDON DEAN COMISH
POCATELLO, ID
NPI
1134743628
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-1956)
Enumeration Date
2020-06-01
Last Update Date
2020-06-01
Business Address
BRANDON DEAN COMISH MD
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-234-4700
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Mailing Address
BRANDON DEAN COMISH MD
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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