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1093829657
BRAD REID EDWARDS
IDAHO FALLS, ID
NPI
1093829657
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: ID O316)
Enumeration Date
2006-08-19
Last Update Date
2009-09-30
Business Address
-- BRAD REID EDWARDS DO
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7579
Phone number: 208-523-3060
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Mailing Address
-- BRAD REID EDWARDS DO
3430 WASHINGTON PKWY
IDAHO FALLS, ID 83404-7579
Phone number: 208-523-3060
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