Bradley Shore, Md, Llc

NPI 1083962021 - Radiology - 2085R0202X

NPI Details
NPI 1083962021
Enumeration Date 08/23/2012
Last Updated 08/23/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name BRADLEY S BRADLEY
Position OWNER
Phone (866) 546-6643
Fax (337) 824-4199
Practice Location
107 E SHANKLAND AVE
JENNINGS LA, 70546-4709, US
Phone (866) 546-6643
Fax (337) 824-4199
Business Location
107 E SHANKLAND AVE
JENNINGS LA, 70546-4709, US
Phone (866) 546-6643
Fax (337) 824-4199
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
Remove 1083962021 NPI Number
 

According to our database, Bradley Shore, Md, Llc NPI is 1083962021, taxonomy code is 2085R0202X Bradley Shore, Md, Llc physically located at 107 E Shankland Ave, Jennings LA, 70546-4709. NPI Number 1033115704 has the healthcare provider type.

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1083962021 NPI number is provided on an as is basis without warranty of any kind. 1083962021 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Shore, Md, Llc are for informational purposes only.