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Individual

BRANDON SCOTT DENNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
910 NW 16TH ST STE 205, FRUITLAND, ID 83619-2265
(208) 452-8100
(208) 452-8111
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642-1026
(208) 367-5170
(208) 367-5180

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
M-15931
ID
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/09/2015
Last updated
08/03/2021
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