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Individual

BRADLEY ROBERT POLLARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1924 ALCOA HWY # U107, KNOXVILLE, TN 37920-1511
(865) 305-9661
(865) 305-6148
Mailing address
PO BOX 11167, KNOXVILLE, TN 37939-1167
(865) 584-7376
(865) 540-3856

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101248124
VA
2085R0202X
Diagnostic Radiology Physician
Primary
52558
TN
2085R0204X
Vascular & Interventional Radiology Physician
52558
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6150997
BCBS TN
TN
05
7100549970
KY
05
Q014991
TN
Enumeration date
06/08/2009
Last updated
10/31/2022
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