Organization
IDAHO BARIATRIC AND METABOLIC INSTITUTE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J BROWN MD (PHYSICIAN)
(208) 378-4264
Entity
Organization
Contact information
Practice address
2960 E. ST. LUKE'S ST., SUITE 200, MERIDIAN, ID 83642-9005
(208) 378-4264
(208) 957-6891
Mailing address
2960 E. ST. LUKE'S ST., SUITE 200, MERIDIAN, ID 83642-9005
(208) 378-4264
(208) 957-6891
Taxonomy
Speciality
Code
Description
License number
State
207VB0002X
Obesity Medicine (Obstetrics & Gynecology) Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184652364
—
ID
Enumeration date
03/26/2019
Last updated
04/10/2025
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