DR. Bradley Yamashita Beaufort, DO

NPI #1063851434 in Pocatello, Idaho

Provider Information

NPI Number: 1063851434
Entity Type: Individual
Name: DR. Bradley Yamashita Beaufort, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Jun 19, 2013
Last Updated: Jun 19, 2013

Practice Location

Address: 465 MEMORIAL DR
City: Pocatello
State: Idaho
ZIP Code: 83201-4008
Phone: (208) 282-4700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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