Individual
BRADLEY ISAAC PEARSON TRAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
700 S MAIN ST, MOSCOW, ID 83843-3046
(208) 699-7387
Mailing address
900 NE MAPLE ST, PULLMAN, WA 99163-3929
(208) 699-7387
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9639585
FL
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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