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Individual
MICHAEL WAYNE BRADMON
Active
Individual
MICHAEL WAYNE BRADMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS013770
PA
207Q00000X
Family Medicine Physician
OS013770
PA
Other
Enumeration date
12/27/2006
Last updated
05/22/2019
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