BRIAN T. MARTIN

MERIDIAN, ID
NPI1144542457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-1767)
Additional Taxonomies363A00000X Physician Assistant
(Licence: CA  PA21543)
Enumeration Date2010-02-28
Last Update Date2024-02-20
Business Address
Mr. BRIAN T. MARTIN PA
520 S EAGLE RD STE 1234
MERIDIAN, ID 83642-6355
Phone number: 208-429-0300
Mailing Address
Mr. BRIAN T. MARTIN PA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: