Bradley Trent Clair M.D.

NPI 1083611198 - Internal Medicine - 207RI0011X

NPI Details
NPI 1083611198
Gender Male
Enumeration Date 07/05/2005
Last Updated 02/07/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
5196 HILL RD E
STE 202
LAKEPORT CA, 95453-6360, US
Phone (707) 263-1777
Fax (707) 263-8137
Business Location
3536 MENDOCINO AVE
STE 200
SANTA ROSA CA, 95403-3634, US
Phone (707) 575-6049
Fax (707) 263-8137
Toxanomy
Taxonomy Code 207RI0011X
License State California
License Number A45681
Remove 1083611198 NPI Number
 

According to our database, Bradley Trent Clair M.D. NPI is 1083611198, taxonomy code is 207RI0011X and license number is A45681, license state is located at California. Bradley Trent Clair M.D. physically located at 5196 Hill Rd E, Lakeport CA, 95453-6360. NPI Number Bradley Trent Clair M.D. has the Individual type.

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1083611198 NPI number is provided on an as is basis without warranty of any kind. 1083611198 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Trent Clair M.D. are for informational purposes only.