JOHN C BROSA

BOISE, ID
NPI1275559080
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  M-10129)
Additional Taxonomies207Q00000X Family Medicine
(Licence: ID  MR-0865)
Enumeration Date2006-07-14
Last Update Date2014-09-26
Business Address
-- JOHN C BROSA MD
701 E PARKCENTER BLVD
BOISE, ID 83706-6528
Phone number: 208-381-6500
Mailing Address
-- JOHN C BROSA MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222