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Bradley Hickman, PA-C
NPI 1629588009 · on the registry since 2017 · sole proprietor
Practice
- Address
- 2392 Addison Ave E
Twin Falls, ID 83301 - Phone
- (307) 548-5200
- Organisation at this address
- Gooding Pharmacy Inc
Gooding Pharmacy Inc
Urgent Care Of Idaho, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho