Individual
DR. THOMAS HAL BRADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3000 N. MARKET AVE., SUITE E, FAYETTEVILLE, AR 72703-3507
(479) 444-1440
(479) 444-1447
Mailing address
3000 N. MARKET AVE., SUITE E, FAYETTEVILLE, AR 72703-3507
(479) 444-1440
(479) 444-1447
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C7898
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124896001
—
AR
01
—
5J353
BLUE
AR
Enumeration date
05/25/2006
Last updated
03/16/2012
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