BRADLEY SMITH HICKMAN

TWIN FALLS, ID
NPI1629588009
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-2529)
Enumeration Date2017-10-11
Last Update Date2024-03-05
Business Address
BRADLEY SMITH HICKMAN PA-C
2392 ADDISON AVE E
TWIN FALLS, ID 83301-6745
Phone number: 307-548-5200
Mailing Address
BRADLEY SMITH HICKMAN PA-C
2945 RUBY DR
TWIN FALLS, ID 83301-5632
Phone number: 208-212-1173
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