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Individual
JAMES PAUL BRADLEY
Active
Individual
JAMES PAUL BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
G85144
CA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
G85144
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
206876-1
NY
2086S0122X
Plastic and Reconstructive Surgery Physician
G85144
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
MD050602L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G851440
—
CA
Enumeration date
06/27/2006
Last updated
05/02/2020
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