Individual
DR. BRADLEY KENT WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., D.I.C.C.P.
Contact information
Practice address
410 S ORCHARD ST STE 120, BOISE, ID 83705-1210
(208) 336-7963
Mailing address
410 S ORCHARD ST STE 120, BOISE, ID 83705-1210
(208) 336-7963
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-2357
ID
Other
Enumeration date
03/22/2007
Last updated
01/17/2024
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