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Individual

BRADFORD JOSEPH GLAVAN

Active
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Individual

BRADFORD JOSEPH GLAVAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD154048
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD154048
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255441739
WA
05
500634357
OR
Enumeration date
08/30/2006
Last updated
05/02/2025
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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