Individual
BRADLEY STEVEN MUMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3333 BURNET AVE, MLC 2004, CINCINNATI, OH 45229-3026
(513) 636-4770
(513) 636-3847
Mailing address
3333 BURNET AVE, MLC 2004, CINCINNATI, OH 45229-3026
(513) 636-4770
(513) 636-3847
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005239RX
OH
363AS0400X
Surgical Physician Assistant
2611
SC
363AS0400X
Surgical Physician Assistant
50005239RX
OH
Other
Enumeration date
09/12/2016
Last updated
01/27/2020
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