Individual
BRYAN DAVID HARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4902 W STATE ST, BOISE, ID 83703-3326
(208) 579-7200
Mailing address
5123 N BLACK SAND AVE, MERIDIAN, ID 83646-6261
(334) 538-3266
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1634
ID
Other
Enumeration date
09/24/2018
Last updated
06/17/2024
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