Individual
DR. DANIEL S BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 S 52ND ST, ROGERS, AR 72758-8602
(479) 936-9900
(479) 587-1366
Mailing address
3232 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703-4005
(479) 587-1700
(479) 587-1366
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C6376
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080660A
—
OK
05
—
113914001
—
AR
05
—
203802103
—
MO
Enumeration date
01/27/2006
Last updated
03/30/2020
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