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Individual
DR. BRADLEY REED PARKE
Active
Individual
DR. BRADLEY REED PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12780
SD
207R00000X
Internal Medicine Physician
Primary
MD223912
OR
207RA0401X
Addiction Medicine (Internal Medicine) Physician
MD223912
OR
Other
Enumeration date
04/30/2018
Last updated
08/13/2026
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