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1427099571
JOHN G BRANDECKER
BOISE, ID
NPI
1427099571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ID M8197)
Enumeration Date
2006-06-09
Last Update Date
2010-07-28
Business Address
-- JOHN G BRANDECKER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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Mailing Address
-- JOHN G BRANDECKER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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