Individual
MR. BRADLEY M WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAAA
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 383-6614
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 383-6614
(216) 383-6749
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
005928
GA
367H00000X
Anesthesiologist Assistant
Primary
67-000220
OH
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003100896A
—
GA
05
—
0087194
—
OH
Enumeration date
06/05/2010
Last updated
09/04/2013
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