Individual
MR. BRIAN CHRISTOPHER LOBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 S 23RD ST, BOISE, ID 83702-9100
(208) 344-3512
(208) 466-5359
Mailing address
211 16TH AVE N, NAMPA, ID 83687-4058
(208) 461-7149
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
83
MP
363A00000X
Physician Assistant
Primary
PA-1339
ID
363AM0700X
Medical Physician Assistant
PA-1339
ID
Other
Enumeration date
02/12/2013
Last updated
07/23/2024
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