Individual
BRADLEY BRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
333 DEAUVILLE DR, MONROEVILLE, PA 15146-2902
(412) 373-3933
Mailing address
333 DEAUVILLE DR, MONROEVILLE, PA 15146-2902
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD041032E
PA
Other
Enumeration date
01/06/2011
Last updated
01/06/2011
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