BRIAN ROWAN

BOISE, ID
NPI1710370903
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: ID  D5156OS)
Enumeration Date2015-03-11
Last Update Date2021-12-10
Business Address
BRIAN ROWAN
403 S 11TH ST STE 300
BOISE, ID 83702-6968
Phone number: 208-344-9115
Mailing Address
BRIAN ROWAN
403 S 11TH ST STE 300
BOISE, ID 83702-6968
Phone number: 208-344-9115
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