Individual
MR. BRADLEY DALE GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1302 N WASHINGTON AVE, MADISON, SD 57042
(605) 256-5230
Mailing address
722 N WEST AVE, MADISON, SD 57042-1955
(605) 427-4744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0125
SD
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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