JOHN G BRANDECKER

BOISE, ID
NPI1427099571
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  M8197)
Enumeration Date2006-06-09
Last Update Date2010-07-28
Business Address
-- JOHN G BRANDECKER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
-- JOHN G BRANDECKER MD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222