# DR. BRADLEY M. SHORT, D.O., P.A.

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

## Provider details

- **NPI number:** 1710215041
- **Authorized official:** DR. BRADLEY MARK SHORT D.O. (PRESIDEN)
- **Authorized official phone:** (479) 646-3345

## Contact information

- **Practice address:** 3905 BROOKEN HILL DR, FORT SMITH, AR 72908-9282
- **Practice address phone:** (479) 646-3345
- **Practice address fax:** (478) 646-6049
- **Mailing address:** 3905 BROOKEN HILL DR, FORT SMITH, AR 72908-9282
- **Mailing address phone:** (479) 646-3345
- **Mailing address fax:** (478) 646-6049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | C7559 | AR | Yes |

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 11/24/2009