Individual
BRENDAN BRYAN MUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BI
Contact information
Practice address
3218 GOLDENSUN AVE, CALDWELL, ID 83605-1624
(509) 499-3171
Mailing address
3218 GOLDENSUN AVE, CALDWELL, ID 83605-1624
(509) 499-3171
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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