NPI 1003662123

Bryan David Little, MD

Practitioner Student in an Organized Health Care Education/Training Program Boise, ID

Practice location

Address: 500 W Fort St Bldg 116, Boise, ID 83702-4501
Phone: (208) 422-1165

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003662123
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2024
Record last updated: 29 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.