Search › Idaho › 363A00000X
Brody Yardumian
NPI 1801439815 · on the registry since 2019 · sole proprietor
Practice
- Address
- 1475 N Cole Rd
Boise, ID 83704 - Phone
- (208) 955-6500
- Fax
- (208) 955-6503
- Organisation at this address
- Alliance Medical Group, Llc
Owyhee Health And Rehab Center
Discovery Care Centre Of Salmon
Discovery Care Centre Of Salmon
Cassia Long Term Care Inc Dba Parke View Care & Rehab CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- CA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-02
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