BRADLEY YAMASHITA BEAUFORT

POCATELLO, ID
NPI1063851434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  MRO-1344)
Enumeration Date2013-06-19
Last Update Date2013-06-19
Business Address
Dr. BRADLEY YAMASHITA BEAUFORT DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4700
Mailing Address
Dr. BRADLEY YAMASHITA BEAUFORT DO
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-4700
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