DR. BRUCE GOLLUB, M.D.
Family Medicine
Active
Individual
NPI: 1508855917
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | M-17332 (ID) |
| General Practice | 208D00000X | No | 80-158 (NM) |
Frequently Asked Questions
NPI 1508855917 is the National Provider Identifier for DR. BRUCE GOLLUB, M.D., a Family Medicine provider located in Twin Falls, ID. This NPI was enumerated on October 18, 2005.
DR. BRUCE GOLLUB, M.D. practices at 775 POLE LINE RD W STE 103, Twin Falls, ID 83301.
Quick Facts
- NPI
- 1508855917
- Type
- Individual
- Enumerated
- Oct 18, 2005
- Last Updated
- Nov 30, 2023
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