Individual provider · Type 1 NPI

Bruce E. Gollub, MD

Family Medicine Physician · Twin Falls, ID

NPI number 1508855917 Active

Practice location

775 Pole Line Rd W Ste 103
Twin Falls, ID 83301-5819

Call (208) 814-8375 Map

Fax (208) 814-8376

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Other practice locations

401 Botulph Ln, Santa Fe, NM 87505-6912 · (505) 983-8387
660 2nd Ave. S. Apt A, Ketchum, ID 83340 · (208) 622-3180

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	80-158 (NM)
General Practice Physician	208D00000X	80-158 (NM)
Family Medicine Physician Primary	207Q00000X	M-17332 (ID)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5 other providers at this address

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About NPI 1508855917

Bruce E. Gollub, MD's National Provider Identifier is 1508855917, issued on Oct 18, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Twin Falls, ID. The record was last updated on Nov 30, 2023.