Individual provider · Type 1 NPI

Brad L. Wynn, DO

Family Medicine Physician · Rupert, ID

NPI number 1902033608 Active

Practice location

1308 8th St Ste 1
Rupert, ID 83350-1535

Fax (208) 436-1312

Mailing address

1224 8th Street
Rupert, ID 83350-1527

Other practice locations

  • 1224 8th Street, Rupert, ID 83350-1527 · (208) 434-4236

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XO-0676 (ID)

Family Medicine Physician: 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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About NPI 1902033608

Brad L. Wynn, DO's National Provider Identifier is 1902033608, issued on Jun 19, 2009. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Rupert, ID. The record was last updated on Aug 25, 2023.