Individual
ROGER EUGENE BRADSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
606 N MAIN ST, GARDEN CITY, KS 67846-5431
(620) 272-6186
(620) 275-7364
Mailing address
1850 T BONE DR, GARDEN CITY, KS 67846-9019
(620) 272-6186
(620) 275-7364
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1391975081
KS
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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