Individual
BRIAN P NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3525 E LOUISE DR, SUITE 400, MERIDIAN, ID 83642
(208) 322-1680
(208) 322-1695
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
O-0563
ID
Other
Enumeration date
04/06/2007
Last updated
09/04/2012
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