Bradley Barham D.O.

NPI 1255693503 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1255693503
Gender Male
Enumeration Date 06/12/2012
Last Updated 09/25/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
1850 HICKORY ST
SUITE 102
ABILENE TX, 79601-2334, US
Phone (325) 677-2801
Fax (325) 677-9110
Business Location
1850 HICKORY ST
SUITE 102
ABILENE TX, 79601-2334, US
Phone (325) 677-2801
Fax
Toxanomy
Taxonomy Code 390200000X
License State Missouri
License Number 2012019351
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According to our database, Bradley Barham D.O. NPI is 1255693503, taxonomy code is 390200000X and license number is 2012019351, license state is located at Missouri. Bradley Barham D.O. physically located at 1850 Hickory St, Abilene TX, 79601-2334. NPI Number Bradley Barham D.O. has the Individual type.

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1255693503 NPI number is provided on an as is basis without warranty of any kind. 1255693503 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Barham D.O. are for informational purposes only.