Individual
BRANDON LEE LIMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
132 5TH AVE W STE 1, JEROME, ID 83338-1871
(208) 814-9800
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6061075
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2023
Last updated
09/17/2024
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