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1295729085
BRIAN KEITH CROWNOVER
MERIDIAN, ID
NPI
1295729085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M11819)
Enumeration Date
2005-09-07
Last Update Date
2023-09-12
Business Address
Dr. BRIAN KEITH CROWNOVER MD, FAAFP
2428 N STOKESBERRY PL
MERIDIAN, ID 83646-5035
Phone number: 208-895-0050
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Mailing Address
Dr. BRIAN KEITH CROWNOVER MD, FAAFP
2428 N STOKESBERRY PL TREASURE VALLEY FAMILY MEDICINE
MERIDIAN, ID 83646-5035
Phone number: 208-895-0050
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