Individual
BRYAN JAMES EARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 W FORT ST # 111R, BOISE, ID 83702-4501
(208) 422-1000
Mailing address
500 W FORT ST # 111R, BOISE, ID 83702-4501
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8971859
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2025
Last updated
06/03/2025
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