NPI 1073074720

Bradley Meyer

Practitioner Obstetrics & Gynecology Physician Twin Falls, ID

Practice location

Address: 801 Pole Line Rd W, Twin Falls, ID 83301-5810
Phone: (208) 814-8500
Mailing address: 190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence M-16705 (ID)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1073074720
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Mar 2019
Record last updated: 27 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.