# BRADLEY J FOLKESTAD, MD, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538329750
- **Authorized official:** DR. BRADLEY J FOLKESTAD MD (OWNER)
- **Authorized official phone:** (623) 561-7250

## Contact information

- **Practice address:** 18699 N 67TH AVE, SUITE 320, GLENDALE, AZ 85308-7140
- **Practice address phone:** (623) 561-7250
- **Practice address fax:** (623) 561-0098
- **Mailing address:** 18699 N 67TH AVE, SUITE 320, GLENDALE, AZ 85308-7140
- **Mailing address phone:** (623) 561-7250
- **Mailing address fax:** (623) 561-0098

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 19824 | AZ | Yes |

## Other

- **Enumeration date:** 06/11/2008
- **Last updated:** 06/11/2008