Individual
MR. BRADLEY ALLEN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8148
Mailing address
8111 S EMERSON AVE, INDIANAPOLIS, IN 46237-8601
(317) 528-8148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000643A
IN
Other
Enumeration date
05/11/2006
Last updated
03/24/2021
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