Individual
MR. BRADLEY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1711
(205) 934-3411
Mailing address
4910 RIDGE PASS, HOOVER, AL 35226-6004
(205) 275-9354
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-105152
AL
Other
Enumeration date
10/16/2013
Last updated
03/17/2018
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