Individual
BRADLEY SEATON THEDINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 BROADWAY SUITE 509, KANSAS CITY, MO 64111-2413
(816) 531-7373
(816) 531-1404
Mailing address
3100 BROADWAY SUITE 509, KANSAS CITY, MO 64111-2413
(816) 531-7373
(816) 531-1404
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
R7F10
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100152510C
—
KS
Enumeration date
03/02/2006
Last updated
05/15/2012
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