BRADLEY CLARK

INKOM, ID
NPI1124354964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  M-8299)
Enumeration Date2009-10-29
Last Update Date2009-10-29
Business Address
DR. BRADLEY CLARK M.D.
423 E ELAINE CIR
INKOM, ID 83245-1716
Phone number: 208-251-9482
Mailing Address
DR. BRADLEY CLARK M.D.
423 E ELAINE CIR
INKOM, ID 83245-1716
Phone number: 208-251-9482