NPI 1255408217

Bradley P Gardner, MD

Practitioner Ophthalmology Physician Idaho Falls, ID

Practice location

Address: 2025 E 17th St, Idaho Falls, ID 83404
Phone: (208) 524-2025
Fax: (208) 529-1924

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence M6282 (ID)

Other Ophthalmology providers in Idaho →

Registry record

NPI: 1255408217
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2006
Record last updated: 8 Jul 2007

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.