IndividualActive
Bruce Delawyer
NPI 1780001065 · Other Specialist/Technologist · Boise, ID
Provider details
- NPI number
- 1780001065
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 117 (ID)
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2014-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.