Individual
COLLIN BRETT THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2235
(208) 381-4556
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3681108
ID
207P00000X
Emergency Medicine Physician
LP05775
RI
Other
Enumeration date
04/25/2022
Last updated
07/01/2026
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