Individual
BRADLY VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 S 7TH ST, VINCENNES, IN 47591-1038
(812) 882-5220
Mailing address
1600 MEDICAL CENTER DR, SUITE 2500, HUNTINGTON, WV 25701-3656
(304) 691-1200
(304) 691-1287
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01085013A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2015
Last updated
02/10/2021
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