Individual
BRADLEY Q HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
14410 ROUTE 37, JOHNSTON CITY, IL 62951-3166
(618) 983-6911
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041304343
IL
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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