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1255408217
BRADLEY P GARDNER
IDAHO FALLS, ID
NPI
1255408217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: ID M6282)
Enumeration Date
2006-11-28
Last Update Date
2007-07-08
Business Address
DR. BRADLEY P GARDNER MD
2025 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-524-2025
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Mailing Address
DR. BRADLEY P GARDNER MD
2025 E 17TH ST
IDAHO FALLS, ID 83404
Phone number: 208-524-2025
Copy
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