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Individual

DR. MARK F BRADBURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2604 CLOVER ST, KLAMATH FALLS, OR 97601-1132
(541) 274-2888
(541) 884-1628
Mailing address
2604 CLOVER ST, KLAMATH FALLS, OR 97601-1132
(541) 274-2888
(541) 884-1628

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20477
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130277
OR
Enumeration date
06/07/2006
Last updated
08/12/2022
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