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Individual

MR. BRADLEY WAYNE WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BS, RVT, RDCS

Taxonomy

Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
2471V0105X
Vascular Sonography Radiologic Technologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
731512719001
BLUECROSS BLUESHIELD
OK
Enumeration date
09/16/2006
Last updated
09/11/2025
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