Individual
DR. JOSEPH DANIEL BRADSHAW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10510 JEFFERSON AVE, SUITE A, NEWPORT NEWS, VA 23601-3102
(757) 594-3800
(757) 594-3818
Mailing address
10510 JEFFERSON AVE, SUITE A, NEWPORT NEWS, VA 23601-3102
(757) 594-3800
(757) 594-3818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116026366
VA
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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