Individual
DEBRA BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 E MAIN ST, REXBURG, ID 83440-2048
(208) 356-3691
Mailing address
450 E MAIN ST, PO BOX 310, REXBURG, ID 83440-2048
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
M6941
ID
Other
Enumeration date
09/27/2006
Last updated
07/14/2007
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