Individual
MR. BRADFORD JOSEPH DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
808 SPECIALITY DR STE A, DEXTER, MO 63841-2753
(573) 891-1250
(573) 891-1320
Mailing address
PO BOX 603, DEXTER, MO 63841-0603
(573) 891-1250
(573) 891-1320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015006783
MO
Other
Enumeration date
05/14/2015
Last updated
09/23/2023
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