Organization
BRADLEY HOUSTON M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBI HOUSTON (OFFICE MANAGER)
(618) 392-2940
Entity
Organization
Contact information
Practice address
605 E MAIN ST, OLNEY, IL 62450-2163
(618) 392-2940
(618) 392-7225
Mailing address
605 E MAIN ST, OLNEY, IL 62450-2163
(618) 392-2940
(618) 392-7225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/16/2008
Last updated
04/16/2008
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