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1588007843
BRADLEY ALEXANDER BIGFORD
MERIDIAN, ID
NPI
1588007843
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: ID NP-1252A)
Enumeration Date
2013-04-16
Last Update Date
2024-05-11
Business Address
Mr. BRADLEY ALEXANDER BIGFORD NP-C
3090 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3550
Phone number: 986-224-8280
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Mailing Address
Mr. BRADLEY ALEXANDER BIGFORD NP-C
PO BOX 44953
BOISE, ID 83711-0953
Phone number: 208-895-6729
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