DR. Brad L Wynn, D.O.

NPI #1902033608 in Rupert, Idaho

Provider Information

NPI Number: 1902033608
Entity Type: Individual
Name: DR. Brad L Wynn, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jun 19, 2009
Last Updated: Aug 25, 2023

Practice Location

Address: 1308 8TH ST STE 1
City: Rupert
State: Idaho
ZIP Code: 83350-1535
Phone: (208) 436-4322

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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