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Individual

BRADLEY SCOTT BAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7455 W WASHINGTON AVE, #160, LAS VEGAS, NV 89128-4337
(702) 878-0393
(702) 933-0637
Mailing address
7455 W WASHINGTON AVE, #160, LAS VEGAS, NV 89128-4337
(702) 878-0393
(702) 933-0637

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13749
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6402070
SD
Enumeration date
06/09/2005
Last updated
08/04/2015
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