Individual
PAUL JASON BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
920 STANTON L YOUNG BLVD # WP1140, OKLAHOMA CITY, OK 73104-5036
(405) 271-4351
(405) 271-8695
Mailing address
PO BOX 26901, WP1140, OKLAHOMA CITY, OK 73126
(405) 271-4351
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
76375
OK
Other
Enumeration date
07/24/2018
Last updated
12/12/2018
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