Individual
BRADFORD M. PIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
970 DEWING AVE STE 100, LAFAYETTE, CA 94549-4278
(510) 451-0780
(510) 451-2352
Mailing address
970 DEWING AVE STE 100, LAFAYETTE, CA 94549-4278
(925) 297-6460
(510) 451-2352
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
G59447
CA
2085N0700X
Neuroradiology Physician
G59447
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G59447
MEDICAL LICENSE
CA
Enumeration date
05/05/2006
Last updated
12/10/2019
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