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Individual

BRIAN E. COTHERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 W. FORT ST, CALDWELL CBOC, BOISE, ID 83702
(208) 422-1000
Mailing address
500 W. FORT ST, CALDWELL CBOC, BOISE, ID 83702
(208) 422-1000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M7781
ID

Other

Enumeration date
06/06/2006
Last updated
04/22/2022
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