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Individual

BRADLEY W PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2344
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2344

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2014-0095
NM
363A00000X
Physician Assistant
Primary
PA2914
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
23458739
CO
Enumeration date
04/05/2006
Last updated
07/21/2025
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