BRYANT VANLEEUWEN

POCATELLO, ID
NPI1891280442
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: ID  M-17410)
Additional Taxonomies208800000X Urology
(Licence: NE  8354)
Enumeration Date2018-06-26
Last Update Date2023-08-10
Business Address
BRYANT VANLEEUWEN MD
777 HOSPITAL WAY STE 215
POCATELLO, ID 83201-5175
Phone number: 208-239-2770
Mailing Address
BRYANT VANLEEUWEN MD
777 HOSPITAL WAY STE 215
POCATELLO, ID 83201-5175
Phone number: 208-239-2770
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