BRIAN P VANDENDRIES

MERIDIAN, ID
NPI1255485561
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LX0106X Nurse Practitioner, Occupational Health
(Licence: ID  NP-637)
Enumeration Date2007-01-23
Last Update Date2012-09-18
Business Address
Mr. BRIAN P VANDENDRIES NP
520 S EAGLE RD SUITE 2213
MERIDIAN, ID 83642-6351
Phone number: 208-706-5447
Mailing Address
Mr. BRIAN P VANDENDRIES NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-7500
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