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Bradley Meyer
Student in an Organized Health Care Education/Training Program in Twin Falls, Idaho
NPI 1073074720

Bradley Meyer is a Student in an Organized Health Care Education/Training Program based in Boise, ID. Bradley Meyer practices in Twin Falls, ID. The NPI Number for Bradley Meyer is 1073074720 and holds a License No. M-16705 (Idaho).

The current practice location address for Bradley Meyer is 801 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-8500. You can also correspond with Bradley Meyer through the mailing address at 190 E BANNOCK ST, BOISE, ID - 83712-6241 (mailing address contact number: ).

Location: 801 Pole Line Rd W, Twin Falls, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073074720
Provider Name
Bradley Meyer
Credential
Provider Entity Type
Individual
Gender
Male
Address
801 Pole Line Rd W, Twin Falls, ID, 83712-6241
Phone Number
208-814-8500
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5810
Phone Number
208-814-8500
Fax Number
person
Provider Business Mailing Address Details
Address
801 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5810
Phone Number
208-814-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
()
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
M-16705 (Idaho)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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NPI 1568447019
Student in an Organized Health Care Education/Training Program
801 Pole Line Rd W Ste 3880,
TWIN FALLS, ID
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