Individual
BRADLEY TYLER MARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300 W MAIN ST, SUITE 24, DOTHAN, AL 36305-1054
(334) 793-1534
(334) 793-6840
Mailing address
4300 W MAIN ST, SUITE 24, DOTHAN, AL 36305-1054
(334) 793-1534
(334) 793-6840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.29548
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0017854
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
12/23/2014
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