BRADLEY L WALKER

POCATELLO, ID
NPI1871563007
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  NP-85A)
Enumeration Date2006-01-23
Last Update Date2007-07-08
Business Address
Mr. BRADLEY L WALKER
120 S RAILROAD AVE
POCATELLO, ID 83204-3205
Phone number: 208-236-5215
Mailing Address
Mr. BRADLEY L WALKER
5033 REDFISH ST
CHUBBUCK, ID 83202-3031
Phone number: 208-237-8376