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Individual

DR. BRIAN KEITH CROWNOVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FAAFP

Contact information

Practice address
2428 N STOKESBERRY PL, MERIDIAN, ID 83646-5035
(208) 895-0050
(855) 543-3086
Mailing address
2428 N STOKESBERRY PL, TREASURE VALLEY FAMILY MEDICINE, MERIDIAN, ID 83646-5035
(208) 895-0050
(208) 887-0033

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M11819
ID
261QP2300X
Primary Care Clinic/Center
M11819
ID

Other

Enumeration date
09/07/2005
Last updated
03/26/2026
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