BRADLEY BRENT LOWDER

POCATELLO, ID
NPI1528526241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  76808)
Enumeration Date2019-03-12
Last Update Date2024-02-27
Business Address
BRADLEY BRENT LOWDER NP-C
2850 OLYMPUS DR
POCATELLO, ID 83201-2271
Phone number: 208-239-2273
Mailing Address
BRADLEY BRENT LOWDER NP-C
2850 OLYMPUS DR
POCATELLO, ID 83201-2271
Phone number: 208-239-2237
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