Jared Anthony Bradford, PA

NPI #1487290359 in Fruitland, Idaho

Provider Information

NPI Number
1487290359
Entity Type
Individual
Name
Jared Anthony Bradford, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Nov 26, 2019
Last Updated
Nov 26, 2019

Practice Location

Address
1210 NW 16TH ST
State
Idaho
ZIP Code
83619-2202
Phone
(208) 452-8600

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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