SearchIdaho363A00000X

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 Center
Inferred 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