Organization
BRADFORD L TALCOTT MD PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD L TALCOTT MD PHD (PHYSICIAN/OWNER)
(208) 552-4823
Entity
Organization
Contact information
Practice address
2353 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 552-4823
(208) 552-4856
Mailing address
2353 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 552-4823
(208) 552-4856
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M10044
ID
Other
Enumeration date
06/05/2008
Last updated
07/15/2008
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