Individual
MR. BRADFORD CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4590 PREMIER DR, HIGH POINT, NC 27265-8193
(336) 802-2050
(336) 802-2051
Mailing address
607 IDOL ST, HIGH POINT, NC 27262-7804
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
103564
NC
Other
Enumeration date
07/28/2005
Last updated
03/30/2009
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