Individual
BRADLEY GENE HAROLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 436-6635
Mailing address
772 S HOLLY ST, DENVER, CO 80246-2302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 195608
CO
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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