Individual
MEGAN ELIZABETH BRADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3727 BUCKSKIN RD, BENTON, AR 72015-5076
(901) 896-7362
Mailing address
3727 BUCKSKIN RD, BENTON, AR 72015-5076
(901) 896-7362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
001237861
AR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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