location
search-icon
person
Dr. Bruce E. Gollub, MD
Family Medicine Physician in Twin Falls, Idaho
NPI 1508855917

Bruce E. Gollub is a Family Medicine Physician based in Boise, ID. Bruce E. Gollub practices in Twin Falls, ID and has the professional credentials of MD. The NPI Number for Bruce E. Gollub is 1508855917 and holds a License No. 80-158 (Idaho).

The current practice location address for Bruce E. Gollub is 775 Pole Line Rd W Ste 103, Twin Falls, ID and can be reached out via phone at 208-814-8375 and via fax at 208-814-8376.

Location: 775 Pole Line Rd W Ste 103, Twin Falls, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508855917
Provider Name
Bruce E. Gollub
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
775 Pole Line Rd W Ste 103, Twin Falls, ID, 83712-6241
Phone Number
208-814-8375
Fax Number
208-814-8376
Provider Enumeration Date
10/18/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
22491 05 NM
institution
Provider Business Practice Location Address Details
Address
775 Pole Line Rd W Ste 103
City
Twin Falls
State
Idaho
Zip
83301-5819
Phone Number
208-814-8375
Fax Number
208-814-8376
person
Provider Business Mailing Address Details
Address
775 Pole Line Rd W Ste 103
City
Twin Falls
State
Idaho
Zip
83301-5819
Phone Number
208-814-8375
Fax Number
208-814-8376
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
80-158 (New Mexico)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
80-158 (New Mexico)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.