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Individual

MS. BROOKE C HERGERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
600 N ROBBINS RD, BOISE, ID 83702-4539
(208) 706-0400
(208) 706-0401
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10075290
TX
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8771956
ID

Other

Enumeration date
06/01/2021
Last updated
07/29/2025
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