Bradley John Folkestad MD

NPI 1073516381 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1073516381
Gender Male
Enumeration Date 05/31/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
18699 N 67TH AVE
STE 320
GLENDALE AZ, 85308-7143, US
Phone (623) 561-7250
Fax (623) 561-0098
Business Location
18699 N 67TH AVE
STE 320
GLENDALE AZ, 85308-7143, US
Phone (623) 561-7250
Fax (623) 561-0098
Toxanomy
Taxonomy Code 207V00000X
License State Arizona
License Number 19824
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According to our database, Bradley John Folkestad MD NPI is 1073516381, taxonomy code is 207V00000X and license number is 19824, license state is located at Arizona. Bradley John Folkestad MD physically located at 18699 N 67th Ave, Glendale AZ, 85308-7143. NPI Number Bradley John Folkestad MD has the Individual type.

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1073516381 NPI number is provided on an as is basis without warranty of any kind. 1073516381 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley John Folkestad MD are for informational purposes only.