1225208655

Everything you always wanted to know about DR. HARPER WILLIAM BRADFORD DDS but were afraid to ask.

DR. HARPER WILLIAM BRADFORD DDS

You can also download the this 1225208655 data report as csv | excel | json | xml
Provider Prefix Provider Last Name Provider Middle Name Provider First Name Provider Credential
DR. HARPER WILLIAM BRADFORD DDS
Gender:
Male
Enumeration date:
2008-02-29
Last update date:
2008-02-29
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
0028012 Medicaid none ID

Taxonomies

Taxonomy State License Number Primary?
1223G0001X General Practice ID D-3225 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 2087850878
Practice Location Address Telephone Number 2087850878

Addresses

Type Address City State Postal Country
Mailing Address 1120 PARKWAY DR BLACKFOOT ID 83221 ID
Practice Location Address 1120 PARKWAY DR BLACKFOOT ID 83221 ID

Other NPI Records that share a phone number

NPI Name Address State City
1053321885 RIVERSIDE DENTAL PC
Organization
1120 PARKWAY DR ID BLACKFOOT
1245560945 AFFORDABLE FAMILY DENTISTRY PC
Organization
1120 PARKWAY DR ID BLACKFOOT
1659507481 JENKINS, TRACY
Individual
1120 PARKWAY DR ID BLACKFOOT

Other NPI Records that share an address

NPI Name Address State City
1053321885 RIVERSIDE DENTAL PC
Organization
1120 PARKWAY DR ID BLACKFOOT
1245560945 AFFORDABLE FAMILY DENTISTRY PC
Organization
1120 PARKWAY DR ID BLACKFOOT
1659507481 JENKINS, TRACY
Individual
1120 PARKWAY DR ID BLACKFOOT