Individual
JACOB R BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 E SOUTHERN AVE STE 102, TEMPE, AZ 85282-7510
(480) 820-9141
Mailing address
2000 E SOUTHERN AVE STE 102, TEMPE, AZ 85282-7510
(480) 820-9141
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
56055
AZ
Other
Enumeration date
04/18/2014
Last updated
11/28/2018
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