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Organization

CHRISTOPHER C. BRADLEY MD PHD, A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER BRADLEY MD, PHD (OWNER/NEUROLOGIST)
(858) 205-2488
Entity
Organization

Contact information

Practice address
5565 GROSSMONT CENTER DR, BLDG 3 SUITE 357, LA MESA, CA 91942-3020
(619) 462-0264
Mailing address
7918 EL CAJON BLVD # 312, LA MESA, CA 91941-3710
(619) 462-0264

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A83249
CA

Other

Enumeration date
01/16/2008
Last updated
01/16/2008
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