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Organization

BOUNDARY MEDICINE & WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER MAYNARD BRYANT DO (OWNER)
(208) 304-6401
Entity
Organization

Contact information

Practice address
7820 OLD HIGHWAY TWO LOOP, MOYIE SPRINGS, ID 83845-5187
(208) 304-6401
Mailing address
7820 OLD HIGHWAY TWO LOOP, MOYIE SPRINGS, ID 83845-5187
(208) 304-6401
(208) 684-7115

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Enumeration date
10/28/2022
Last updated
01/11/2023
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