Individual
BRANDON GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
O1066
ID
208M00000X
Hospitalist Physician
Primary
O-1066
ID
Other
Enumeration date
11/16/2013
Last updated
07/22/2025
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