Individual
BRADLEY MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3217 W BAVARIA ST, EAGLE, ID 83616-5171
(208) 286-6676
Mailing address
3340 E GOLDSTONE WAY, MERIDIAN, ID 83642-1026
(208) 286-6676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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