Individual
DR. BRADLEY WADE GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
402 OLD STATE HWY, CASCADE, ID 83611
(208) 382-4242
(208) 382-3580
Mailing address
491 E RIDGE DR, EAGLE, ID 83616-5097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-8735
ID
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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