Individual
JOSHUA BERLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712
(208) 381-2222
Mailing address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3013
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
29361
NV
207P00000X
Emergency Medicine Physician
Primary
M14174
ID
207P00000X
Emergency Medicine Physician
MD192020
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
08/12/2026
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