Individual
BRIAN ROWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
403 S 11TH ST STE 300, BOISE, ID 83702-6968
(208) 344-9115
(208) 344-9113
Mailing address
403 S 11TH ST STE 300, BOISE, ID 83702-6968
(208) 344-9115
(208) 344-9113
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
D5156OS
ID
Other
Enumeration date
03/11/2015
Last updated
12/10/2021
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