BRADLY KENNETH LEROY BROWN

IDAHO FALLS, ID
NPI1043598477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  PA965)
Enumeration Date2011-08-03
Last Update Date2016-09-13
Business Address
Mr. BRADLY KENNETH LEROY BROWN PA-C
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
Mailing Address
Mr. BRADLY KENNETH LEROY BROWN PA-C
2730 CHANNING WAY
IDAHO FALLS, ID 83404-5049
Phone number: 208-542-7100
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