Individual
DR. BRIAN CRAIG KITAMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2963 E COPPER POINT DR, MERIDIAN, ID 83642-9055
(208) 322-1730
Mailing address
PO BOX 5666, DENVER, CO 80217-5666
(866) 898-7136
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
M-12295
ID
207P00000X
Emergency Medicine Physician
Primary
MD165010
OR
390200000X
Student in an Organized Health Care Education/Training Program
R72066
AZ
Other
Enumeration date
06/24/2010
Last updated
07/19/2022
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