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1255485561
BRIAN P VANDENDRIES
MERIDIAN, ID
NPI
1255485561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LX0106X Nurse Practitioner, Occupational Health
(Licence: ID NP-637)
Enumeration Date
2007-01-23
Last Update Date
2012-09-18
Business Address
Mr. BRIAN P VANDENDRIES NP
520 S EAGLE RD SUITE 2213
MERIDIAN, ID 83642-6351
Phone number: 208-706-5447
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Mailing Address
Mr. BRIAN P VANDENDRIES NP
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-706-7500
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