Individual
BRADLEY K CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2751 DEBARR RD, SUITE 390, ANCHORAGE, AK 99508-2953
(907) 274-7977
Mailing address
PO BOX 140349, ANCHORAGE, AK 99514-0349
(907) 792-7920
(907) 792-7901
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2313
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300130884
RAILROAD MEDICARE
—
05
—
MD2313
—
AK
Enumeration date
08/19/2006
Last updated
06/28/2016
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