Individual
DR. BRADLEY LYNN RHINEHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 E 17TH ST, IDAHO FALLS, ID 83404-6152
(208) 522-2839
(208) 522-0843
Mailing address
4055 EASTWOOD CIR, AMMON, ID 83406-4740
(208) 542-2428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100062
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807144200
—
ID
Enumeration date
08/22/2006
Last updated
08/02/2013
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