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1619325180
WILLIAM BRANDENBURG
BOISE, ID
NPI
1619325180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID MRM-1583)
Enumeration Date
2016-05-25
Last Update Date
2016-05-25
Business Address
-- WILLIAM BRANDENBURG MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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Mailing Address
-- WILLIAM BRANDENBURG MD
777 N RAYMOND ST
BOISE, ID 83704-9251
Phone number: 208-514-2500
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