Individual
WALTER BRUCE CHERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E IDAHO ST, SUITE 202, BOISE, ID 83712-6267
(208) 381-7360
(208) 381-7361
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-7360
(208) 381-7361
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
M8385
ID
Other
Enumeration date
06/11/2006
Last updated
02/03/2012
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