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Individual
BRADLEY MACDOUGALL
Active
Individual
BRADLEY MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1316453
TX
208100000X
Physical Medicine & Rehabilitation Physician
36927
CA
Other
Enumeration date
08/05/2010
Last updated
07/08/2020
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