Whalio Doctors

NPI 1003808924

Thornton E Bryan, MD

Practitioner Family Medicine Physician Boise, ID

Practice location

Address
701 E Parkcenter Blvd, Boise, ID 83706-6528
Phone
(208) 381-6500
Fax
(208) 381-6505
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (3)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence M12455 (ID)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD0000027731 (TN)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD.204465 (LA)

Registry record

NPI
1003808924
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Aug 2005
Record last updated
26 Sep 2014

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.