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1093818239
BRADLEY MARK BURTON
POCATELLO, ID
NPI
1093818239
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID M7466)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- BRADLEY MARK BURTON MD
2006 BIRDIE THOMPSON DRIVE
POCATELLO, ID 83201
Phone number: 208-232-1132
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Mailing Address
-- BRADLEY MARK BURTON MD
2006 BIRDIE THOMPSON DRIVE
POCATELLO, ID 83201
Phone number: 208-232-1132
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