Bradley L Rhinehart Od PA
NPI #1700063567 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1700063567
- Entity Type
- Organization
- Organization Name
- Bradley L Rhinehart Od PA
- Primary Specialty
- Optometrist
- Enumeration Date
- Jan 23, 2008
- Last Updated
- Jan 23, 2008
Practice Location
- Address
- 700 E 17TH ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6152
- Phone
- (208) 522-2839
Authorized Official
- Name
- MR. BRADLEY L RHINEHART, O.D.
- Title
- OWNER
- Phone
- (208) 525-2090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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