Individual
DR. BRETT R MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Mailing address
2537 W STATE ST STE 200, BOISE, ID 83702-2200
(208) 336-0895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
42367
ID
367500000X
Certified Registered Nurse Anesthetist
Primary
58042
ID
Other
Enumeration date
01/11/2018
Last updated
02/28/2018
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