MR. Bradley James Heninger, PA-C
NPI #1205103389 in Fruitland, Idaho
Provider Information
- NPI Number
- 1205103389
- Entity Type
- Individual
- Name
- MR. Bradley James Heninger, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 17, 2011
- Last Updated
- Feb 17, 2016
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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