Radford, Bradley

Radford, Bradley is an individual health care provider with primary practice located at 2001 S Woodruff Ave Ste 15B , Idaho Falls ID 83404-6372. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as his primary health care specialty. Radford, Bradley can be contacted via phone (208) 357-4633.

Contact Information

Primary practice address
2001 S Woodruff Ave Ste 15B Idaho Falls ID 83404-6372
Phone: (208) 357-4633
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 66122 Idaho

Profile Details

NPI number 1871191254
LBN Legal business name Radford, Bradley
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2020
Last updated Oct 16th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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