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Organization

BRADLEY BIBB MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MONYA YORK (DIRECTOR CREDENTIALING)
(870) 856-1202
Entity
Organization

Contact information

Practice address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
(870) 994-7301
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-1202

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
05/15/2025
Last updated
05/15/2025
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