Dr BENJAMIN BRADLEY is a male medical professional, specializing in Physician Assistant. He graduated in 2011.
ST LUKES CLINIC-TREASURE VALLEY LLC
3165 E GREENHURST RD
NAMPA
ID
836868655
Tel: 2084637330
| Npi | 1548546435 |
| Pac Id | 3173798634 |
| Professional Enrollment Id | I20160930001868 |
| Last Name | BRADLEY |
| First Name | BENJAMIN |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | ST LUKES CLINIC-TREASURE VALLEY LLC |
| Group Practice Pac Id | 4981878402 |
| Number Of Group Practice Members | 746 |
| Line 1 Street Address | 3165 E GREENHURST RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NAMPA |
| State | ID |
| Zip Code | 836868655 |
| Phone Number | 2084637330 |
| Hospital Affiliation Ccn 1 | 130006 |
| Hospital Affiliation Lbn 1 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 130071 |
| Hospital Affiliation Lbn 2 | ST LUKE'S NAMPA MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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