Organization
PRECISION FAMILY MEDICINE & AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY RADFORD FNP-BC (OWNER)
(208) 419-3271
Entity
Organization
Contact information
Practice address
2001 S WOODRUFF AVE STE 11, IDAHO FALLS, ID 83404-6372
(208) 757-1000
Mailing address
2001 S WOODRUFF AVE STE 11, IDAHO FALLS, ID 83404-6372
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2022
Last updated
10/13/2022
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