BRYANT VANLEEUWEN MD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1891280442- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 777 HOSPITAL WAY STE 215, POCATELLO, ID, 832015175
- Phone
- (208) 239-2770
Specialties & Taxonomies
Urology
License: NE #8354
Urology
Primary License: ID #M-17410