Individual
AARON W BRACKNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702
(208) 422-1000
(208) 422-1148
Mailing address
500 W FORT ST, EMERGENCY DEPT., BOISE, ID 83702
(208) 422-1000
(208) 422-1148
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101016198
MI
207P00000X
Emergency Medicine Physician
Primary
O-0480
ID
Other
Enumeration date
11/16/2006
Last updated
03/15/2022
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