Individual
BRADLEY S MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 RICHESON DR, LYNCHBURG, VA 24501-2911
(434) 385-7776
(434) 385-5846
Mailing address
105 RICHESON DR, LYNCHBURG, VA 24501-2911
(434) 385-7776
(434) 385-5846
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101030923
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006793011
—
VA
Enumeration date
05/03/2006
Last updated
06/05/2012
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