Individual
DR. ROBERT FOSTER BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 SCIENCE CT, SUITE 200, COLUMBIA, SC 29203-9344
(803) 252-1913
(803) 252-2330
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200300124
NC
174400000X
Specialist
28279
SC
174400000X
Specialist
A96188
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28279
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282795
—
SC
Enumeration date
04/03/2007
Last updated
08/07/2013
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