Bradley D Mulkey, PA

NPI #1487691176 in Meridian, Idaho

Provider Information

NPI Number: 1487691176
Entity Type: Individual
Name: Bradley D Mulkey, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jun 1, 2006
Last Updated: Mar 31, 2022

Practice Location

Address: 3525 E LOUISE DR
Address 2: SUITE 400
City: Meridian
State: Idaho
ZIP Code: 83642
Phone: (208) 322-1680

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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