Individual
BRADLEY S BUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10539 PROFESSIONAL CIR STE 201, RENO, NV 89521-3858
(775) 348-8800
(833) 687-1419
Mailing address
5310 KIETZKE LN STE 104, RENO, NV 89511-2043
(775) 348-8800
(833) 687-1419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2508
NV
363AM0700X
Medical Physician Assistant
Primary
PA2508
NV
Other
Enumeration date
07/11/2020
Last updated
03/31/2025
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