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Individual

DR. ELIZABETH PLEASANTS BRADSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
710 FALLS BLVD S, WYNNE, AR 72396-3514
(870) 238-2321
(870) 238-0114
Mailing address
710 FALLS BLVD S, WYNNE, AR 72396-3514
(870) 238-2321
(870) 238-0114

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E4904
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E4904
STATE LICENSE NUMBER
AR
Enumeration date
12/28/2006
Last updated
03/29/2012
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