BRADLEY COLE

IDAHO FALLS, ID
NPI1588020309
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-1670A)
Enumeration Date2016-01-08
Last Update Date2016-01-19
Business Address
-- BRADLEY COLE NP
1995 E 17TH ST STE 2
IDAHO FALLS, ID 83404-6493
Phone number: 208-419-2541
Mailing Address
-- BRADLEY COLE NP
3046 JACKIE CT
IDAHO FALLS, ID 83402-5568
Phone number: 208-419-2541
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