Individual
MR. BRADLEY R DIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1599
(712) 225-2594
(712) 225-1684
Mailing address
1251 W CEDAR LOOP, CHEROKEE, IA 51012-1599
(712) 225-2594
(712) 225-1684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001213
IA
Other
Enumeration date
04/19/2006
Last updated
07/31/2009
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