Bradley Dale Allison LAT, ATC

NPI 1285993378 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1285993378
Gender Male
Enumeration Date 05/09/2012
Last Updated 05/09/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1910 UNIVERSITY DR
BOISE ID, 83725-1711, US
Phone (208) 426-2305
Fax
Business Location
1910 UNIVERSITY DR
BOISE ID, 83725-1711, US
Phone (208) 426-2305
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Idaho
License Number AT-413
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According to our database, Bradley Dale Allison LAT, ATC NPI is 1285993378, taxonomy code is 2255A2300X and license number is AT-413, license state is located at Idaho. Bradley Dale Allison LAT, ATC physically located at 1910 University Dr, Boise ID, 83725-1711. NPI Number Bradley Dale Allison LAT, ATC has the Individual type.

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1285993378 NPI number is provided on an as is basis without warranty of any kind. 1285993378 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Dale Allison LAT, ATC are for informational purposes only.