Individual
MR. BRADLEY ALEXANDER BIGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
3090 E GENTRY WAY STE 210, MERIDIAN, ID 83642-3550
(986) 224-8280
(844) 268-7286
Mailing address
PO BOX 44953, BOISE, ID 83711-0953
(208) 895-6729
(208) 855-5921
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-1252A
ID
Other
Enumeration date
04/16/2013
Last updated
05/11/2024
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