Individual provider · Type 1 NPI

Jared Anthony Bradford, PA

Medical Physician Assistant · Fruitland, ID

NPI number 1487290359 Active

Practice location

1210 NW 16th St
Fruitland, ID 83619-2202

Call (208) 452-8600 Map

Mailing address

5273 S Apsley Pl
Boise, ID 83709-5179

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XID-1811 (ID)

Medical Physician Assistant: Definition to come...

23 other providers at this address

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About NPI 1487290359

Jared Anthony Bradford, PA's National Provider Identifier is 1487290359, issued on Nov 26, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fruitland, ID. The record was last updated on Nov 26, 2019.