Individual
KURTIS WAYNE BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 445-0751
(602) 424-8128
Mailing address
9225 N 3RD ST, SUITE 300, PHOENIX, AZ 85020-2439
(602) 445-0751
(602) 424-8128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006622
AZ
208M00000X
Hospitalist Physician
Primary
006622
AZ
Other
Enumeration date
06/08/2012
Last updated
05/18/2022
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