Individual
DR. BRADLEY ALAN WEBER
Active
Individual
DR. BRADLEY ALAN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
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
Update your record
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