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Individual

BRADLEY J ADAMS

Active
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Individual

BRADLEY J ADAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36 002115
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02037
PARAMOUNT
OH
05
—
0510807
—
OH
01
—
480001611
PALMETTO GBA RAILROAD MEDICARE
OH
01
—
605732
BUCKEYE CHP
OH
Enumeration date
06/20/2006
Last updated
10/23/2014
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