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Individual
MR. BRADFORD D HARE
Active
Individual
MR. BRADFORD D HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
164474-1205
UT
207LP2900X
Pain Medicine (Anesthesiology) Physician
164474-1205
UT
Other
Enumeration date
10/25/2006
Last updated
04/30/2013
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