Individual
DR. BRADLEY ALAN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
7901 SCHATZ POINTE DR, DAYTON, OH 45459-3856
(937) 439-0390
(937) 439-7370
Mailing address
7964 DEEP WOODS CT, SPRINGBORO, OH 45066-8777
(937) 554-7385
(937) 554-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34004205W
OH
208D00000X
General Practice Physician
34-004205
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0748196
—
OH
Enumeration date
11/23/2005
Last updated
01/14/2016
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