| Bradford L Talcott Md Phd Pc | |
|
2353 Coronado St Idaho Falls ID 83404-7407 | |
| (208) 552-4823 | |
| (208) 552-4856 |
| Full Name | Bradford L Talcott Md Phd Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2353 Coronado St, Idaho Falls, Idaho |
| Authorized Official Name and Position | Bradford L Talcott (PHYSICIAN/OWNER) |
| Authorized Official Contact | 2085524823 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford L Talcott Md Phd Pc 2353 Coronado St Idaho Falls ID 83404-7407 Ph: (208) 552-4823 | Bradford L Talcott Md Phd Pc 2353 Coronado St Idaho Falls ID 83404-7407 Ph: (208) 552-4823 |
| NPI Number | 1407015282 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407015282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | M10044 (Idaho) | Primary |
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