Whalio Doctors

NPI 1710370903

Brian Rowan

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Boise, ID

Practice location

Address
403 S 11th St STE 300, Boise, ID 83702-6968
Phone
(208) 344-9115
Fax
(208) 344-9113

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence D5156OS (ID)

Registry record

NPI
1710370903
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Mar 2015
Record last updated
10 Dec 2021

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.