Individual
DR. PAUL F BRILLHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1110 E POLSTON AVE, SUITE 1, POST FALLS, ID 83854-6409
(208) 773-1311
(208) 773-1644
Mailing address
1110 E POLSTON AVE, SUITE 1, POST FALLS, ID 83854-6409
(208) 773-1311
(208) 773-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M8602
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806345800
—
ID
Enumeration date
04/18/2008
Last updated
06/02/2008
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