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BRIAN W GOLTRY
190 E BANNOCK ST BOISE ID 837126241

BRIAN W GOLTRY is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1578591210. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 2668469925. The primary specialty is PULMONARY DISEASE. The organization is ST LUKES CLINIC-TREASURE VALLEY LLC. The address is 190 E BANNOCK ST, , BOISE, ID, 837126241. The zip code is 837126241.


Nation Provider ID1578591210
PAC ID by PECOS2668469925
Professional Enrollment IDI20040428000925
NameBRIAN W GOLTRY
Medical School NameUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year1996
Primary SpecialtyPULMONARY DISEASE
All secondary specialties
Organization NameST LUKES CLINIC-TREASURE VALLEY LLC
Group Practice PAC ID4981878402
Number of Group Practice members127
Address190 E BANNOCK ST, , BOISE, ID, 837126241
Hospital affiliation LBNST LUKES REGIONAL MEDICAL CENTER
Graduation Year1996
Contact Number
Email Address[Show_Email_ID]

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