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Individual

BRADLEY D CARMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO FACOS

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34004869
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000490579
ANTHEM
OH
01
000000696936
ANTHEM
OH
05
0125817000
WV
05
0817754
OH
05
2034873
OH
01
P00789302
RRMCR
OH
Enumeration date
06/06/2006
Last updated
08/13/2020
Update your record

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