Individual
NORMAN BRADSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
29 N COMMERCE ST, ARDMORE, OK 73401-3903
(580) 223-1925
Mailing address
PO BOX 1686, ARDMORE, OK 73402-1686
(580) 223-1925
(580) 223-8167
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT2754
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT2754
OK LICENSE
OK
Enumeration date
10/16/2006
Last updated
01/31/2023
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