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Dr. Brad L Wynn, DO
Family Medicine Physician in Rupert, Idaho
NPI 1902033608

Brad L Wynn is a Family Medicine Physician based in Rupert, ID. Brad L Wynn practices in Rupert, ID and has the professional credentials of DO. The NPI Number for Brad L Wynn is 1902033608 and holds a License No. O-0676 (Idaho).

The current practice location address for Brad L Wynn is 1308 8Th St Ste 1, Rupert, ID and can be reached out via phone at 208-436-4322 and via fax at 208-436-1312.

Location: 1308 8Th St Ste 1, Rupert, ID, 83350-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902033608
Provider Name
Brad L Wynn
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1308 8Th St Ste 1, Rupert, ID, 83350-1527
Phone Number
208-436-4322
Fax Number
208-436-1312
Provider Enumeration Date
06/19/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1902033608 05 ID
institution
Provider Business Practice Location Address Details
Address
1308 8Th St Ste 1
City
Rupert
State
Idaho
Zip
83350-1535
Phone Number
208-436-4322
Fax Number
208-436-1312
person
Provider Business Mailing Address Details
Address
1308 8Th St Ste 1
City
Rupert
State
Idaho
Zip
83350-1535
Phone Number
208-436-4322
Fax Number
208-436-1312
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
O-0676 (Idaho)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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