Individual
DR. JAMES E. BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2016 S MAIN ST, MARYVILLE, MO 64468-2655
(660) 562-2525
(660) 562-7993
Mailing address
114 E SOUTH HILLS DR, MARYVILLE, MO 64468-2659
(660) 562-2525
(660) 562-7993
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
114129
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0995274
—
IA
Enumeration date
06/02/2005
Last updated
07/09/2007
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