Table Rock Mobile Medicine Pllc
NPI #1194186437 in Meridian, Idaho
Provider Information
- NPI Number
- 1194186437
- Entity Type
- Organization
- Organization Name
- Table Rock Mobile Medicine Pllc
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 15, 2016
- Last Updated
- May 11, 2024
Practice Location
Authorized Official
- Name
- BRADLEY BIGFORD, MSN, NP-C
- Title
- SOLE MEMBER
- Phone
- (986) 224-8420
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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