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1124354964
BRADLEY CLARK
INKOM, ID
NPI
1124354964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: ID M-8299)
Enumeration Date
2009-10-29
Last Update Date
2009-10-29
Business Address
DR. BRADLEY CLARK M.D.
423 E ELAINE CIR
INKOM, ID 83245-1716
Phone number: 208-251-9482
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Mailing Address
DR. BRADLEY CLARK M.D.
423 E ELAINE CIR
INKOM, ID 83245-1716
Phone number: 208-251-9482
Copy