Individual
BRADLEY HOLBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 N 1ST ST STE 150, BOISE, ID 83702-6135
(208) 381-3088
(208) 381-4314
Mailing address
190 E BANNOCK ST STE 2222, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
M-17863
ID
207VM0101X
Maternal & Fetal Medicine Physician
MD2014-0229
NM
Other
Enumeration date
04/23/2010
Last updated
08/01/2024
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