Individual
BRADLEY BRENT LOWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2850 OLYMPUS DR, POCATELLO, ID 83201-2271
(208) 239-2273
(208) 239-3677
Mailing address
2850 OLYMPUS DR, POCATELLO, ID 83201-2271
(208) 239-2237
(208) 239-3677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
76808
ID
Other
Enumeration date
03/12/2019
Last updated
02/27/2024
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