Individual
DR. BRADDOCK MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
932 CALDWELL BLVD, NAMPA, ID 83651-1711
(208) 318-0018
Mailing address
932 CALDWELL BLVD, NAMPA, ID 83651-1711
(208) 318-0018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P6737
ID
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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