Individual
BRADLEY DEAN CHRISJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
615 SW 3RD ST, LEES SUMMIT, MO 64063-2212
(816) 524-3799
(913) 495-3727
Mailing address
8550 MARSHALL DR STE 220, LENEXA, KS 66214-1505
(816) 524-3799
(913) 495-3727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2005016786
MO
Other
Enumeration date
05/25/2006
Last updated
11/01/2021
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