Individual
BRUCE SPRADLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 BONNER MALL WAY, PONDERAY, ID 83852-9748
(208) 265-8066
(208) 263-6623
Mailing address
212 BONNER MALL WAY, PONDERAY, ID 83852-9748
(208) 265-8066
(208) 263-6623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P5267
ID
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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