BRADLEY ALEXANDER BIGFORD

MERIDIAN, ID
NPI1588007843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: ID  NP-1252A)
Enumeration Date2013-04-16
Last Update Date2024-05-11
Business Address
MR. BRADLEY ALEXANDER BIGFORD NP-C
3090 E GENTRY WAY STE 210
MERIDIAN, ID 83642-3550
Phone number: 986-224-8280
Mailing Address
MR. BRADLEY ALEXANDER BIGFORD NP-C
PO BOX 44953
BOISE, ID 83711-0953
Phone number: 208-895-6729
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