Individual
BRADLEY JAMES ATOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BROOKE ARMY MEDICAL CENTER 3551 ROGER BROOKE DR JBSA, FORT SAM HOUSTON, TX 78234-4504
(210) 539-5545
Mailing address
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4504
(210) 539-5545
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0072386
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2022
Last updated
01/31/2024
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