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Individual

DR. BRIAN PAUL BRADOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0056508
CO
208200000X
Plastic Surgery Physician
35098881
OH
208600000X
Surgery Physician
MT188778
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0066268
OH
01
027080
KAISER COMMERCIAL NUMBER
CO
05
3810023423
WV
Enumeration date
03/18/2008
Last updated
05/04/2021
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