Individual
ROBYN BRYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 E JEFFERSON ST STE 101, BOISE, ID 83712-6221
(208) 223-1680
(208) 322-1695
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8752
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA11836500
NJ
207RC0000X
Cardiovascular Disease Physician
Primary
M-17768
ID
Other
Enumeration date
08/19/2013
Last updated
06/04/2024
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