Brock Hyder
NPI 1114403953 · on the registry since 2018
Practice
- Address
- 13108 W Persimmon Ln
Boise, ID 83713 - Phone
- (208) 377-2160
- Fax
- (208) 376-6440
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Dentist
122300000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho