DR. Bradley Phillips

NPI #1245798180 in Mountain Home Afb, Idaho

Provider Information

NPI Number: 1245798180
Entity Type: Individual
Name: DR. Bradley Phillips
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Enumeration Date: Mar 11, 2019
Last Updated: Dec 1, 2025

Practice Location

Address: 90 HOPE DR BLDG 6000
City: Mountain Home Afb
State: Idaho
ZIP Code: 83648-1062
Phone: (208) 828-7362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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