Individual
MR. BRADLEY DEAN SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1111 N CHINA LAKE BLVD, RIDGECREST REGIONAL HOSPITAL, RIDGECREST, CA 93555-3131
(760) 499-3800
Mailing address
FILE 50670, LOS ANGELES, CA 90074-0670
(888) 227-3312
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA17047
CA
Other
Enumeration date
01/10/2007
Last updated
07/08/2021
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