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Search › Idaho › 174400000X

Robert Brouillard

NPI 1154508703 · on the registry since 2008

Practice

Address
5440 W Franklin Rd
Ste 100
Boise, ID 83705
Phone
(208) 422-1555
Organisation at this address
Stacey Titus Pllc
Acceptance Counseling Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
174400000X
174400000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-05

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