Individual
BRENT E DOBSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4473 FOX CT, CHUBBUCK, ID 83202-2670
(208) 221-2892
Mailing address
PO BOX 6032, POCATELLO, ID 83205-6032
(208) 221-2892
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
ID
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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