Individual
DR. MATTHEW WALTER BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 S KIRKWOOD RD STE 120, SAINT LOUIS, MO 63122-7250
(314) 996-8887
(314) 996-3869
Mailing address
30 APEX DR, STE 1, HIGHLAND, IL 62249-1372
(314) 996-8887
(314) 996-3869
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2010008612
MO
207X00000X
Orthopaedic Surgery Physician
36.127269
IL
207X00000X
Orthopaedic Surgery Physician
MD25835
OR
Other
Enumeration date
04/10/2007
Last updated
07/16/2018
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