Joseph P Bradley MD

NPI 1639330244 - Otolaryngology - 207Y00000X

NPI Details
NPI 1639330244
Gender Male
Enumeration Date 06/17/2008
Last Updated 11/02/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
4921 PARKVIEW PL
STE 11A
SAINT LOUIS MO, 63110-1032, US
Phone (314) 362-7509
Fax (314) 362-7522
Business Location
660 S EUCLID AVE
C B 8115
SAINT LOUIS MO, 63110-1010, US
Phone (314) 362-7509
Fax (314) 569-4226
Toxanomy
Taxonomy Code 207Y00000X
License State Missouri
License Number 2010006689
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According to our database, Dr. Joseph P Bradley MD NPI is 1639330244, taxonomy code is 207Y00000X and license number is 2010006689, license state is located at Missouri. Joseph P Bradley MD physically located at 4921 Parkview Pl, Saint Louis MO, 63110-1032. NPI Number Joseph P Bradley MD has the Individual type.

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1639330244 NPI number is provided on an as is basis without warranty of any kind. 1639330244 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph P Bradley MD are for informational purposes only.