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Individual

BRADLEY L LAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1221 PLEASANT, STE 100 MEDICAL ONCOLOGY AND HEMATOLOGY, DES MOINES, IA 50309
(515) 282-2921
(515) 282-1035
Mailing address
1221 PLEASANT, STE 100, DES MOINES, IA 50309
(515) 282-2921
(515) 282-1035

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
31378
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0159764
IA
Enumeration date
03/30/2006
Last updated
03/08/2010
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