Individual
BRADLEY KYLE RODELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1574 MEDICAL CENTER PKWY STE 104, MURFREESBORO, TN 37129-3761
(615) 225-2070
(615) 962-9047
Mailing address
240 W FRONT ST, PORT ANGELES, WA 98362-2609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5848
TN
363A00000X
Physician Assistant
60932663
WA
Other
Enumeration date
02/22/2019
Last updated
06/20/2024
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