Individual
MR. PHILLIP DAVID BRADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.
Contact information
Practice address
3610 SPRINGHILL MEMORIAL DR N, MOBILE, AL 36608-1162
(251) 410-3600
(251) 410-3720
Mailing address
3610 SPRINGHILL MEMORIAL DR N, MOBILE, AL 36608-1162
(251) 410-3600
(251) 410-3720
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2236
AL
Other
Enumeration date
06/02/2006
Last updated
03/18/2008
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