IndividualActive
Bryan Little, MD
NPI 1003662123 · Student in an Organized Health Care Education/Training Program · Boise, ID
Provider details
- NPI number
- 1003662123
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Practice location
500 W Fort St Bldg 116
Boise, ID 83702-4501
Phone: (208) 422-1165
Approximate (ZIP-level) locationGet directions
Mailing address
500 W Fort St Bldg 116
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2024-04-29
- Last updated
- 2024-04-29
- Certified
- 2024-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.