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Individual
DR. RICHARD L BRADBURY
Active
Individual
DR. RICHARD L BRADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
12-00240
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100227100B
—
KS
Enumeration date
08/30/2005
Last updated
04/30/2008
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