Individual
MR. BRADLEY RICHAD LEAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
12409 HAVISHUM CT, FORT SMITH, AR 72916-6026
(417) 207-7003
Mailing address
12409 HAVISHUM CT, FORT SMITH, AR 72916-6026
(417) 207-7003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
102664
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
2401
SC
367500000X
Certified Registered Nurse Anesthetist
C02854
AR
Other
Enumeration date
05/12/2006
Last updated
01/08/2021
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