Individual
DR. BRENT ANTHONY GALVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8102 W NORTHVIEW ST, BOISE, ID 83704-4406
(208) 377-1102
(208) 377-5853
Mailing address
8102 W NORTHVIEW ST, BOISE, ID 83704-4406
(208) 377-1102
(208) 377-5853
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
ODP100-177
ID
Other
Enumeration date
03/20/2007
Last updated
12/31/2013
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