Individual
PHILLIP CLAYTON BERRYHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 N. CURTIS RD, SUITE 201, BOISE, ID 83706-1300
(208) 367-4000
(208) 367-4052
Mailing address
3340 EAST GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M-10837
ID
207T00000X
Neurological Surgery Physician
MD2005-0523
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30653037
—
NM
Enumeration date
10/03/2006
Last updated
01/28/2010
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