James E. Bradley M.D.

NPI 1053313015 - Surgery - 208600000X

NPI Details
NPI 1053313015
Gender Male
Enumeration Date 06/02/2005
Last Updated 07/09/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
2016 S MAIN ST
MARYVILLE MO, 64468-2655, US
Phone (660) 562-2525
Fax (660) 562-7993
Business Location
MARYVILLE MO, 64468-2659, US
Phone (660) 562-2525
Fax (660) 562-7993
Taxonomy Code 208600000X
License State Missouri
License Number 114129
Remove 1053313015 NPI Number

According to our database, Dr. James E. Bradley M.D. NPI is 1053313015, taxonomy code is 208600000X and license number is 114129, license state is located at Missouri. James E. Bradley M.D. physically located at 2016 S Main St, Maryville MO, 64468-2655. NPI Number James E. Bradley M.D. has the Individual type.

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1053313015 NPI number is provided on an as is basis without warranty of any kind. 1053313015 is maintained by the National Plan & Provider Enumeration System. The contents of James E. Bradley M.D. are for informational purposes only.