Organization
MARK F BRADBURY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK F BRADBURY M.D. (OWNER)
(541) 274-2888
Entity
Organization
Contact information
Practice address
2604 CLOVER ST, KLAMATH FALLS, OR 97601-1132
(541) 274-2888
(541) 884-1628
Mailing address
2604 CLOVER ST, KLAMATH FALLS, OR 97601-1132
(541) 274-2888
(541) 884-1628
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD20477
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130277
—
OR
Enumeration date
07/09/2006
Last updated
06/17/2009
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