Individual
JONATHAN BRET BARRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2020 S JOHNS AVE STE B, EMMETT, ID 83617-9410
(208) 369-4340
Mailing address
2020 S JOHNS AVE STE B, EMMETT, ID 83617-9410
(208) 369-4340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MRO-1406
ID
Other
Enumeration date
06/16/2014
Last updated
11/02/2021
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