Individual
DR. DONALD QUINTIN BRUBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1828 S MILLENIUM WAY STE 300, MERIDIAN, ID 83642-5036
(208) 895-8775
(208) 895-1775
Mailing address
1828 S MILLENIUM WAY STE 300, MERIDIAN, ID 83642-5036
(208) 895-8775
(208) 895-1775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31524
WV
207Q00000X
Family Medicine Physician
Primary
3771870
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932668852
—
WV
Enumeration date
03/19/2019
Last updated
03/17/2026
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