person
Jared Anthony Bradford, PA
Medical Physician Assistant in Fruitland, Idaho
NPI 1487290359

Jared Anthony Bradford is a Medical Physician Assistant based in Boise, ID and is specialized in Medical. Jared Anthony Bradford practices in Fruitland, ID and has the professional credentials of PA. The NPI Number for Jared Anthony Bradford is 1487290359 and holds a License No. ID-1811 (Idaho).

The current practice location address for Jared Anthony Bradford is 1210 Nw 16Th St, Fruitland, ID and can be reached out via phone at 208-452-8600.

Location: 1210 Nw 16Th St, Fruitland, ID, 83709-5179
person
Provider Profile Details
NPI Number
1487290359
Provider Name
Jared Anthony Bradford
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1210 Nw 16Th St, Fruitland, ID, 83709-5179
Phone Number
208-452-8600
Fax Number
Provider Enumeration Date
11/26/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1210 Nw 16Th St
City
State
Zip
83619-2202
Phone Number
208-452-8600
Fax Number
person
Provider Business Mailing Address Details
Address
1210 Nw 16Th St
City
State
Zip
83619-2202
Phone Number
208-452-8600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
ID-1811 (Idaho)
Definition
Definition to come...
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