Individual
DR. BRANDON LEE COUCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
10451 W GARVERDALE CT STE 204, BOISE, ID 83704-5475
(208) 287-9393
(208) 287-9394
Mailing address
10451 W GARVERDALE CT STE 204, BOISE, ID 83704-5475
(208) 287-9393
(208) 287-9394
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-1451
ID
Other
Enumeration date
03/01/2010
Last updated
05/15/2014
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