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Individual
MR. BRADLEY WAYNE WELCH
Active
Individual
MR. BRADLEY WAYNE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, RVT, RDCS
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
—
NULL
2471V0105X
Vascular Sonography Radiologic Technologist
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
731512719001
BLUECROSS BLUESHIELD
OK
Enumeration date
09/16/2006
Last updated
09/11/2025
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