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1932420783
BRAD LEON HYATT
TWIN FALLS, ID
NPI
1932420783
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ID O0628)
Enumeration Date
2010-06-16
Last Update Date
2014-12-29
Business Address
Dr. BRAD LEON HYATT DO
2550 ADDISON AVE E SUITE F
TWIN FALLS, ID 83301-6749
Phone number: 208-814-7700
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Mailing Address
Dr. BRAD LEON HYATT DO
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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