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Brad Wynn, D.O
NPI 1902033608 · on the registry since 2009
Practice
- Address
- 1308 8th St Ste 1
Rupert, ID 83350 - Phone
- (208) 436-4322
- Fax
- (208) 436-1312
- Organisation at this address
- Minidoka Memorial Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Additional practice sites
- 1224 8th Street, Rupert, ID
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-25
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