BRAD L WYNN

RUPERT, ID
NPI1902033608
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ID  O-0676)
Enumeration Date2009-06-19
Last Update Date2023-08-25
Business Address
DR. BRAD L WYNN D.O.
1308 8TH ST STE 1
RUPERT, ID 83350-1535
Phone number: 208-436-4322
Mailing Address
DR. BRAD L WYNN D.O.
1224 8TH STREET
RUPERT, ID 83350-1527
Phone number: 208-434-4236