Individual
DR. TIMOTHY A BIALOBRZESKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
338 E BANNOCK ST, BOISE, ID 83712-6207
(208) 336-0895
Mailing address
12661 N SCHICKS RIDGE RD, BOISE, ID 83714-9456
(208) 908-6224
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
936767
MI
207L00000X
Anesthesiology Physician
O-0626
ID
207LP3000X
Pediatric Anesthesiology Physician
Primary
O-0626
ID
Other
Enumeration date
05/18/2007
Last updated
07/26/2011
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