Individual
MR. BRYCE AITKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP C
Contact information
Practice address
6560 S FEDERAL WAY, BOISE, ID 83716-9277
(208) 336-1645
Mailing address
3340 E GOLDSTONE, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP756A
ID
Other
Enumeration date
10/13/2006
Last updated
07/16/2010
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