Individual
BRADLEY GARTH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3700 MALL VIEW RD, MEDICAL STAFF OFFICE, BAKERSFIELD, CA 93306-3050
(661) 328-9831
Mailing address
3700 MALL VIEW RD, MEDICAL STAFF OFFICE, BAKERSFIELD, CA 93306-3050
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5494
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX54940
—
CA
Enumeration date
10/21/2005
Last updated
12/02/2021
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