Organization
BRADLEY BIBB, MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RENE NEELY RN (CRED SUPER)
(870) 856-1202
Entity
Organization
Contact information
Practice address
49 HIGHWAY 62 412, ASH FLAT, AR 72513-9594
(870) 856-1202
(870) 856-2107
Mailing address
4196 HIGHWAY 62 412 STE A, HARDY, AR 72542-8002
(870) 856-1202
(870) 856-2107
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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