Search › Idaho › 2255A2300X
Brent Faure, MS, ATC
NPI 1649295825 · on the registry since 2006 · sole proprietor
Practice
- Address
- 13279 N Moonglow Ln
Pocatello, ID 83202 - Phone
- (208) 237-2971
- Organisation at this address
- Tri Med
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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