Whalio Doctors

NPI 1124016464

Bradley P Bretz, MD

Practitioner Anesthesiology Physician Boise, ID

Practice location

Address
2537 W State St STE 200, Boise, ID 83702-2200
Phone
(208) 336-0895
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence M8818 (ID)
Pain Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence M8818 (ID)

Registry record

NPI
1124016464
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Oct 2005
Record last updated
10 Jan 2018

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.