person
Mr. Bradley James Heninger, PA-C
Medical Physician Assistant in Fruitland, Idaho
NPI 1205103389

Bradley James Heninger is a Medical Physician Assistant based in Meridian, ID and is specialized in Medical. Bradley James Heninger practices in Fruitland, ID and has the professional credentials of PA-C. The NPI Number for Bradley James Heninger is 1205103389 and holds a License No. (Idaho).

The current practice location address for Bradley James Heninger is 910 Nw 16Th Street, Fruitland, ID and can be reached out via phone at 208-452-3111 and via fax at 208-452-3666. You can also correspond with Bradley James Heninger through the mailing address at 3340 E GOLDSTONE WAY, MERIDIAN, ID - 83642-1026 (mailing address contact number: 208-452-3111).

Location: 910 Nw 16Th Street, Fruitland, ID, 83642-1026
person
Provider Profile Details
NPI Number
1205103389
Provider Name
Bradley James Heninger
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
910 Nw 16Th Street, Fruitland, ID, 83642-1026
Phone Number
208-452-3111
Fax Number
208-452-3666
Provider Enumeration Date
11/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
910 Nw 16Th Street
City
State
Zip
83619
Phone Number
208-452-3111
Fax Number
208-452-3666
person
Provider Business Mailing Address Details
Address
910 Nw 16Th Street
City
State
Zip
83619
Phone Number
208-452-3111
Fax Number
208-452-3666
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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