Individual
CRAIG A BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2214 SOUTH QUEEN STREET, YORK, PA 17402
(717) 741-3831
(717) 741-2764
Mailing address
2214 SOUTH QUEEN STREET, YORK, PA 17402
(717) 741-3831
(717) 741-2764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS004315L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02619000
KEYSTONE
—
Enumeration date
04/10/2006
Last updated
02/23/2010
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