Individual
BRADLEY DEAN BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1050 DAUCH DR, ASHLAND, OH 44805-8845
(419) 685-3369
Mailing address
626 LEXINGTON ONTARIO RD, MANSFIELD, OH 44903-7563
(419) 685-3369
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
359240
OH
Other
Enumeration date
11/22/2011
Last updated
11/21/2016
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