MR. BRADLEY HENINGER, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1205103389

Practice Address

910 NW 16TH STREET
STE 205
Fruitland, ID 83619

Phone: (208) 452-3111

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA-1026 (ID)

Frequently Asked Questions

NPI 1205103389 is the National Provider Identifier for MR. BRADLEY HENINGER, PA-C, a Physician Assistant - Medical provider located in Fruitland, ID. This NPI was enumerated on November 17, 2011.
MR. BRADLEY HENINGER, PA-C practices at 910 NW 16TH STREET, STE 205, Fruitland, ID 83619.

Quick Facts

NPI
1205103389
Type
Individual
Enumerated
Nov 17, 2011
Last Updated
Feb 17, 2016

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