Individual
ELIZABETH BROOKE OLBERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4166
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
M7715
ID
208M00000X
Hospitalist Physician
Primary
M7715
ID
Other
Enumeration date
05/09/2006
Last updated
11/18/2022
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