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Individual

DAVID LAMAR BRADSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
809 SW 89TH ST, STE. C, OKLAHOMA CITY, OK 73139-9360
(405) 635-8378
(405) 635-8380
Mailing address
14421 S LIBBY ST, OKLAHOMA CITY, OK 73170-5719
(405) 691-2898
(405) 635-8380

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
1772
OK

Other

Enumeration date
02/23/2011
Last updated
02/23/2011
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