Bradley Joseph Halverson D.O.

NPI 1205177763 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1205177763
Gender Male
Enumeration Date 03/08/2013
Last Updated 03/08/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
20201 CRAWFORD AVE
ATTN: POSTDOCTORAL EDUCATION
OLYMPIA FIELDS IL, 60461-1010, US
Phone (708) 747-4000
Fax
Business Location
300 WALNUT ST
MAILBOX #26
DES MOINES IA, 50309-2224, US
Phone (515) 570-3858
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Bradley Joseph Halverson D.O. NPI is 1205177763, taxonomy code is 390200000X Bradley Joseph Halverson D.O. physically located at 20201 Crawford Ave, Olympia Fields IL, 60461-1010. NPI Number Bradley Joseph Halverson D.O. has the Individual type.

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1205177763 NPI number is provided on an as is basis without warranty of any kind. 1205177763 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Joseph Halverson D.O. are for informational purposes only.