Individual
DR. BRADLEY MARK TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1413 SOUTH SECOND STREET, CLINTON, MO 64735
(660) 885-7776
(575) 205-0346
Mailing address
PO BOX 393, CLINTON, MO 64735-0393
(660) 885-7776
(575) 205-0346
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R8F34
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202555629
—
MO
Enumeration date
10/04/2006
Last updated
10/28/2024
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