Individual
DR. BRADFORD BRUCE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
205 7TH AVE SO, NAMPA, ID 83651
(208) 442-0000
Mailing address
205 7TH AVE SO, NAMPA, ID 83651
(208) 442-0000
(208) 468-9592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1705
ID
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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