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NPI Profile for BOISE BRAIN AND BODY LLC in BOISE, ID.
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Brain Injury Medicine |
2081P0301X | 25 | Physician/Physical Medicine and Rehabilitation |
| NPI Number | 1073403051 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 07/09/2025 | |
| Last updated | 04/29/2026 - About a month ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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BOISE BRAIN AND BODY LLC