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Individual

WILLIAM ARTHUR BRADLEY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4212 N 16TH ST., PHOENIX, AZ 85016
(602) 263-1511
(602) 263-1619
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1511
(602) 263-1619

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A71050
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
856891
AZ
01
AZ0757950
BCBS
AZ
Enumeration date
09/06/2006
Last updated
07/09/2007
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