Individual
DR. ANDREW RYAN BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
(208) 413-7917
Mailing address
1641 SUNNY PINE WAY, IDAHO FALLS, ID 83404-8255
(208) 403-7774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-17116
ID
Other
Enumeration date
03/26/2021
Last updated
07/19/2024
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