Individual
DR. BRADLEY HARTWELL RESTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3883 AIRWAY DR, SUITE 100, SANTA ROSA, CA 95403-1670
(707) 521-4480
Mailing address
3883 AIRWAY DR, SUITE 100, SANTA ROSA, CA 95403-1670
(707) 521-4480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A114774
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FC830Y
MEDICARE PTAN
CA
Enumeration date
04/24/2008
Last updated
07/14/2016
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