Individual
DR. MARK B BRADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1602 W 26TH ST, SIOUX FALLS, SD 57105-2610
(605) 695-0599
Mailing address
1602 W 26TH ST, SIOUX FALLS, SD 57105-2610
(605) 695-0599
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
119
SD
Other
Enumeration date
05/05/2006
Last updated
10/08/2013
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