Individual
MR. BRADLEY JAMES RECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1210B MEDICAL ARTS BLVD, STE 214, ANDERSON, IN 46011-3439
(765) 298-4300
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28161442A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01824814
RR PTAN
IN
Enumeration date
09/23/2013
Last updated
05/31/2017
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