BRENT BLUE MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1063467538- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 190 MUSTANG DRIVE, DRIGGS, ID, 834220000
- Phone
- (307) 733-7835
- Fax
- (307) 201-4999
Specialties & Taxonomies
Family Medicine
Primary License: WY #3416A
Emergency Medicine
License: CA #A31472
Clinic/Center, Urgent Care
License: WY #3416A