JARED ANTHONY BRADFORD

FRUITLAND, ID
NPI1487290359
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: ID  ID-1811)
Enumeration Date2019-11-26
Last Update Date2019-11-26
Business Address
JARED ANTHONY BRADFORD PA
1210 NW 16TH ST
FRUITLAND, ID 83619-2202
Phone number: 208-452-8600
Mailing Address
JARED ANTHONY BRADFORD PA
5273 S APSLEY PL
BOISE, ID 83709-5179
Phone number: 208-871-9025
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